Individual provider Active NPI

Kyle Allan Kasper, O.D.

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1346655016
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0003053 Issued in CO
Practice address
5050 N Nevada Ave
Colorado Springs, CO 80918-8602
Phone
(901) 736-4326
NPI assigned
Jun 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0003053 CO Primary

Addresses

Primary practice location

5050 N Nevada Ave
Colorado Springs, CO 80918-8602

Mailing address

8167 Summerset Dr Apt F
Colorado Springs, CO 80920-6129
Phone (901) 736-4326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170130001304 CO Practitioner - Optometry 8325320294 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003053COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Arbaugh and Reuter PC Optometrist CurrentSince Jan 6, 2024 Accepting new patients
Kara Fedders, OD, P.C. Optometrist CurrentSince Oct 18, 2022 Accepting new patients
Arbaugh and Reuter PC Optometrist PastSince Jan 10, 2021 Accepting new patients

Locations

707 S 8th St
Colorado Springs, CO 80905
Phone (719) 477-0274

6091 N Academy Blvd
Colorado Springs, CO 80918
Phone (719) 520-3333

7642 McLaughlin Rd
Peyton, CO 80831
Phone (719) 495-6611

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1346655016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8167 SUMMERSET DR APT F",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809206129",
            "telephone_number": "901-736-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188602",
            "telephone_number": "901-736-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPER",
        "first_name": "KYLE",
        "middle_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-21",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.