Organization Active NPI

Kastl Family Eyecare Inc.

  • Optometrist
  • Norfolk, NE
National Provider Identifier
1528624152
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KASTL FAMILY EYECARE INC.
Practice address
2106 Taylor Ave Ste 100
Norfolk, NE 68701-4635
Phone
(402) 347-4767
NPI assigned
May 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Authorized official

Name
Dr. Jarod Scott Kastl, ODNPI 1285685438
Title
Optometrist
Phone
(402) 347-4767

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: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2106 Taylor Ave Ste 100
Norfolk, NE 68701-4635

Mailing address

2106 Taylor Ave Ste 100
Norfolk, NE 68701-4635
Phone (402) 750-8857

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190713000019 NE Part B Supplier - Clinic/Group Practice 1052646072 Receives reassigned benefits from 1 practitioner
Practice locations: Norfolk, NE

National Provider Directory

National Provider Directory

Locations

2106 Taylor Ave
Ste 100
Norfolk, NE 68701
Phone (402) 347-4767

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": "1558310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558656000000",
    "number": "1528624152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 TAYLOR AVE STE 100",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014635",
            "telephone_number": "402-750-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 TAYLOR AVE STE 100",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014635",
            "telephone_number": "402-347-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASTL FAMILY EYECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-20",
        "last_updated": "2019-05-24",
        "status": "A",
        "authorized_official_last_name": "KASTL",
        "authorized_official_first_name": "JAROD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "402-347-4767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.