Provider Demographics
NPI:1609251636
Name:NUVISTA EYE CENTER INC.
Entity Type:Organization
Organization Name:NUVISTA EYE CENTER INC.
Other - Org Name:KASTER EYE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:PHILLIP
Authorized Official - Last Name:KASTER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:330-899-7161
Mailing Address - Street 1:1600 E TURKEYFOOT LAKE RD STE A
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-5365
Mailing Address - Country:US
Mailing Address - Phone:330-899-7161
Mailing Address - Fax:330-899-7151
Practice Address - Street 1:1600 E TURKEYFOOT LAKE RD STE A
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-5365
Practice Address - Country:US
Practice Address - Phone:330-899-7161
Practice Address - Fax:330-899-7151
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRAD KASTER O.D. LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-07-20
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5557152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty