Individual provider Active NPI

Kylie Castans, O.D.

  • Optometrist
  • Aurora, CO
National Provider Identifier
1730532144
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2144 Issued in AZ
Practice address
1471 S Havana St
Aurora, CO 80012-4013
Phone
(303) 671-9615
NPI assigned
Jul 20, 2016
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2144 AZ Primary

Addresses

Primary practice location

1471 S Havana St
Aurora, CO 80012-4013

Mailing address

1876 Pitchfork Rd
Hartsel, CO 80449-8601
Phone (847) 456-7421

Other identifiers 2

IdentifierTypeStateIssuer
2144OtherAZARIZONA LICENSE NUMBER
OPT.0003449OtherCOCOLORADO LICENSE NUMBER

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
I20231222000167 CO Practitioner - Optometry 3577826817

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Kylie Castans Optometry LLC Optometrist CurrentSince Mar 31, 2024 Accepting new patients
Emergency Medical & Surgical Specialists of Colorado LLC PastSince Mar 13, 2018 Accepting new patients

Locations

1471 S Havana St
Aurora, CO 80012
Phone (303) 671-9615

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1730532144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 PITCHFORK RD",
            "city": "HARTSEL",
            "state": "CO",
            "postal_code": "804498601",
            "telephone_number": "847-456-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 S HAVANA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124013",
            "telephone_number": "303-671-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANS",
        "first_name": "KYLIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2024-03-27",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA LICENSE NUMBER",
            "identifier": "2144",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE NUMBER",
            "identifier": "OPT.0003449",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.