Active NPI
Tina Kastler, O.D.
- Optometrist
- Glendale, AZ
National Provider Identifier
1376535187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT-001673
- Practice address
- 5845 W. Bell Rd
Glendale, AZ 85308 - Phone
- (602) 942-1475
- Fax
- (602) 942-4124
- NPI assigned
- Aug 17, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 02240 | IA | |
| Optometrist | 152W00000X | 1172 | NE | |
| Optometrist | 152W00000X | OPT-001673 | AZ | Primary |
Addresses
Primary practice location
5845 W. Bell Rd
Glendale, AZ 85308
Mailing address
12215 W. Monte Lindo LN.
Sun City, AZ 85373
Phone (623) 341-2449
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0291120 | Medicaid | IA | |
| 04362571600 | Medicaid | NE | |
| 47590 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1172 | NE | MD | Clinical Social Worker |
| OPT-001673 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tina N. Kastler, OD PC | Optometrist | Current | Accepting new patients |
| Legacy Eyecare, LLC | Optometrist | Past | Accepting new patients |
Locations
5845 W Bell Rd
Glendale, AZ 85308
Phone (602) 942-1475
Organizations & group practices 2
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.
-
- Optometrist
- Glendale, AZ
- NPI 1285700534
-
- Optometrist
- Omaha, NE
- NPI 1790718328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1376535187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12215 W. MONTE LINDO LN.",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "85373",
"telephone_number": "623-341-2449",
"fax_number": "402-894-0597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5845 W. BELL RD",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "85308",
"telephone_number": "602-942-1475",
"fax_number": "602-942-4124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASTLER",
"first_name": "TINA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-17",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "02240",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1172",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OPT-001673",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0291120",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04362571600",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47590",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.