NPIMap

Organization Active NPI

Casak Woodhill LLC

Doing business as Pal Optical

  • Optician
  • Lexington, KY
National Provider Identifier
1609930791
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
244184 Issued in KY
Legal business name
CASAK WOODHILL LLC
Doing business as
Pal Optical
Practice address
1555 E New Circle Rd
Suite #146
Lexington, KY 40509-1043
Phone
(859) 266-3003
Fax
(859) 266-9504
NPI assigned
Dec 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steven Ambrose Klecker, ODNPI 1821098401
Title
Managing Member
Phone
(859) 266-3003

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
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 244184 KY Primary

Addresses

Primary practice location

1555 E New Circle Rd
Suite #146
Lexington, KY 40509-1043

Mailing address

1555 E New Circle Rd
Suite #146
Lexington, KY 40509-1043
Phone (859) 266-3003

Other identifiers 1

IdentifierTypeStateIssuer
52800935MedicaidKY

Other names 1

  • Pal Optical Doing business as

National Provider Directory

National Provider Directory

Locations

1555 E New Circle Rd
Ste 146
Lexington, KY 40509
Phone (859) 266-3003

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609930791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 E NEW CIRCLE RD",
            "address_2": "SUITE #146",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091043",
            "telephone_number": "859-266-3003",
            "fax_number": "859-266-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 E NEW CIRCLE RD",
            "address_2": "SUITE #146",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091043",
            "telephone_number": "859-266-3003",
            "fax_number": "859-266-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASAK WOODHILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLECKER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "AMBROSE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "859-266-3003",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "KY",
            "license": "244184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52800935",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pal Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.