Karen Y Castleberry, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

1324 Issued in GA

Practice address

3700 Atlanta Hwy
#141
Athens, GA 30606-7201

Phone

(706) 613-6409

Fax

(706) 613-5514

NPI assigned

Oct 10, 2006

Last updated

Jan 26, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Michigan College of Medicine and Surgery, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KM Vision Inc.

  dba Pearle Vision

  • Optometrist
  • Athens, GA
  • NPI 1841520038
  Medicare reassignment Authorized official
• Modern Eyes of Georgia, LLC

  • Optometrist
  • Buford, GA
  • NPI 1982831756
  NPD (past)
• Mog Vision Center Inc

  dba Pearle Vision

  • Optometrist
  • Lawrenceville, GA
  • NPI 1437346335
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1073601514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 ATLANTA HWY",
            "address_2": "SUITE 141",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067201",
            "telephone_number": "706-613-6409",
            "fax_number": "706-613-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 ATLANTA HWY",
            "address_2": "#141",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067201",
            "telephone_number": "706-613-6409",
            "fax_number": "706-613-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLEBERRY",
        "first_name": "KAREN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "1324",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MI",
            "license": "3628",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE LOCATION #102007",
            "identifier": "10633",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00972771A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARRIER PROVIDER #",
            "identifier": "41ZCFDD",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101679",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellie Casey
• Jeremy David Casper, PHARMD
• Alayna Cassidy
• Mary Debra Casterline, LPN
• Benjamin Wade Castleberry, PT, DPT, CSCS
• Michelle Lynn Castleberry, LCSW
• Samuel W Castleberry, H.I.S.
• Landon Billy Castleman, PHARM.D.
• Britanny Dawn Castro, NP
• Kimberly M Castro, MD

• Corneal and Contact Management Optometrist in Athens, GA
• Providers in Athens, GA by specialty
• Corneal and Contact Management Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.