Dr. Judy S. Kastl, O.D.
Optometrist in Broken Arrow, OK. Individual provider (NPI-1).
NPI number1760660989
StatusActive
Last updated in NPPESFeb 11, 2008
Details
- NPI
- 1760660989
- Entity type
- Individual (NPI-1)
- Name
- Dr. Judy S. Kastl
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 11, 2008
- Last updated
- Feb 11, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2253 | OK | Yes |
Practice location
3505 W Kenosha StBroken Arrow, OK 74012-8948
Phone 918-872-6161
Mailing address
3505 W Kenosha StBroken Arrow, OK 74012-8948
Phone 918-872-6161
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All 44 Optometrist providers in Broken Arrow · All 2,347 providers in Broken Arrow
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