Provider Demographics
NPI:1528624152
Name:KASTL FAMILY EYECARE INC.
Entity type:Organization
Organization Name:KASTL FAMILY EYECARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAROD
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:KASTL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:402-347-4767
Mailing Address - Street 1:2106 TAYLOR AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:NE
Mailing Address - Zip Code:68701-4635
Mailing Address - Country:US
Mailing Address - Phone:402-750-8857
Mailing Address - Fax:
Practice Address - Street 1:2106 TAYLOR AVE STE 100
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701-4635
Practice Address - Country:US
Practice Address - Phone:402-347-4767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-20
Last Update Date:2019-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty