Provider Demographics
NPI:1386272730
Name:HASSTEDT, KARI JO
Entity type:Individual
Prefix:MRS
First Name:KARI
Middle Name:JO
Last Name:HASSTEDT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2634 STANGE RD
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-7110
Mailing Address - Country:US
Mailing Address - Phone:515-232-5627
Mailing Address - Fax:515-232-9234
Practice Address - Street 1:2634 STANGE RD
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-7110
Practice Address - Country:US
Practice Address - Phone:515-232-5627
Practice Address - Fax:515-232-9234
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician