Clint L Kasza, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1980 Issued in CO

Practice address

Vision Center at Wal-Mart
1575 Space Center Drive
Colorado Springs, CO 80915

Phone

(719) 573-2011

Fax

(719) 597-9491

NPI assigned

Feb 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Dr Kasza PC

  • Optometrist
  • Colorado Springs, CO
  • NPI 1588108294
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1982749909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 SPACE CENTER DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809152441",
            "telephone_number": "719-573-2011",
            "fax_number": "719-597-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VISION CENTER AT WAL-MART",
            "address_2": "1575 SPACE CENTER DRIVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80915",
            "telephone_number": "719-573-2011",
            "fax_number": "719-597-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASZA",
        "first_name": "CLINT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam W. Kassner
• Cara Lynn Kassul, LPC
• Jens Philip Kasten
• Christopher J. Kaster, DPT
• Jeremiah Kastner, PT
• Olivia Katab, RBT
• Katelyn Clarkson, LPC
• Brian Kates
• Mary Ann Kates, RN
• Mason Ben Kates, MD

• 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 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.