Individual provider Active NPI

Jacob Kasprenski, OD

  • Optometrist
  • Catasauqua, PA
National Provider Identifier
1952956732
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003557 Issued in PA
Practice address
1088 Howertown Rd
Catasauqua, PA 18032-1615
Phone
(757) 229-1131
NPI assigned
Aug 7, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003557 PA Primary

Addresses

Primary practice location

1088 Howertown Rd
Catasauqua, PA 18032-1615

Mailing address

1088 Howertown Rd
Catasauqua, PA 18032-1615
Phone (484) 764-8097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191125000377 VA Practitioner - Optometry 5890127260
I20211216000370 PA Practitioner - Optometry 5890127260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1088 Howertown Rd
Catasauqua, PA 18032-1615
Phone (610) 443-1544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kasprenski Family Eye Care LLC Optometrist CurrentSince Dec 6, 2021 Accepting new patients

Locations

1088 Howertown Rd
Catasauqua, PA 18032
Phone (610) 264-4664

Interoperability endpoints

  • Direct secure messaging: jacob.kasprenski@direct.revolutionehr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1952956732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 HOWERTOWN RD",
            "city": "CATASAUQUA",
            "state": "PA",
            "postal_code": "180321615",
            "telephone_number": "484-764-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 HOWERTOWN RD",
            "city": "CATASAUQUA",
            "state": "PA",
            "postal_code": "180321615",
            "telephone_number": "757-229-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPRENSKI",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-07",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catasauqua, PA

Sources for this page

Verify at the official NPI Registry.