Kastler, Tina

Kastler, Tina is an sole proprietor health care provider with primary practice located at 5845 W. Bell Rd , Glendale AZ 85308. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kastler, Tina can be contacted via phone (602) 942-1475.

Contact Information

Primary practice address
5845 W. Bell Rd Glendale AZ 85308
Fax: (602) 942-4124
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 02240 Iowa
Eye and Vision Services Providers / Optometrist 152W00000X 1172 Nebraska
Eye and Vision Services Providers / Optometrist 152W00000X OPT-001673 Arizona

Profile Details

NPI number 1376535187
LBN Legal business name Kastler, Tina
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2005
Last updated May 19th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376535187 NPPES
Iowa MEDICAID 0291120
Iowa MEDICAID 04362571600
Iowa MEDICAID 47590

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