Organization Active NPI

Judy S Kastl OD LLC

Doing business as Kastl Vision Center

  • Optometrist
  • Tulsa, OK
National Provider Identifier
1295988251
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2253 Issued in OK
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

Updated by the provider on Jun 16, 2010

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.NPI 1760660989
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090310000198 OK Part B Supplier - Clinic/Group Practice 8224194675 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.