Active NPI
Judy S Kastl OD LLC
Doing business as Kastl Vision Center
- Optometrist
- Tulsa, OK
National Provider Identifier
1295988251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2253
- Legal business name
- JUDY S KASTL OD LLC
- Doing business as
- Kastl Vision Center
- Practice address
- 5401 E 71St St
Suite One
Tulsa, OK 74136-6265 - Phone
- (918) 728-2020
- NPI assigned
- Nov 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Judy S. Kastl, O.D.
- Title
- Optometrist
- Phone
- (918) 728-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2253 | OK | Primary |
Addresses
Primary practice location
5401 E 71St St
Suite One
Tulsa, OK 74136-6265
Mailing address
5401 E 71St St
Suite One
Tulsa, OK 74136-6265
Phone (918) 728-2020
Other names 1
- Kastl Vision Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5401 E 71st St
Ste 1
Tulsa, OK 74136
Phone (918) 728-2020
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Broken Arrow, OK
- NPI 1760660989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276646400000",
"number": "1295988251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5401 E 71ST ST",
"address_2": "SUITE ONE",
"city": "TULSA",
"state": "OK",
"postal_code": "741366265",
"telephone_number": "918-728-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 E 71ST ST",
"address_2": "SUITE ONE",
"city": "TULSA",
"state": "OK",
"postal_code": "741366265",
"telephone_number": "918-728-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUDY S KASTL OD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-03",
"last_updated": "2010-06-16",
"status": "A",
"authorized_official_last_name": "KASTL",
"authorized_official_first_name": "JUDY",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "918-728-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "OK",
"license": "2253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kastl Vision Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.