Active NPI
Nate Richard Castillo, OD
- Optometrist
- Tahlequah, OK
National Provider Identifier
1770190779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3059
- Practice address
- 2625 Cambridge Cir
Tahlequah, OK 74464-4690 - Phone
- (918) 704-6245
- NPI assigned
- Sep 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3059 | OK | Primary |
Addresses
Primary practice location
2625 Cambridge Cir
Tahlequah, OK 74464-4690
Mailing address
2625 Cambridge Cir
Tahlequah, OK 74464-4690
Phone (918) 704-6245
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1770190779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2625 CAMBRIDGE CIR",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744644690",
"telephone_number": "918-704-6245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 CAMBRIDGE CIR",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744644690",
"telephone_number": "918-704-6245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "NATE",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-24",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "3059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tahlequah, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.