Dr Kasza PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 1980 Issued in CO

Legal business name

DR KASZA PC

Practice address

1575 Space Center Dr
Vision Center
Colorado Springs, CO 80915-2441

Phone

(719) 573-2011

Fax

(719) 596-2099

NPI assigned

Dec 14, 2016

Last updated

Dec 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clint L Kasza, O.D.NPI 1982749909

Title

President

Phone

(719) 573-2011

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clint L Kasza, O.D.

  • Optometrist
  • Colorado Springs, CO
  • NPI 1982749909
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1588108294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 SPACE CENTER DR",
            "address_2": "VISION CENTER",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809152441",
            "telephone_number": "719-573-2011",
            "fax_number": "719-596-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 SPACE CENTER DR",
            "address_2": "VISION CENTER",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809152441",
            "telephone_number": "719-573-2011",
            "fax_number": "719-596-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KASZA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "KASZA",
        "authorized_official_first_name": "CLINT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-573-2011",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT 1980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.