Individual provider Active NPI

Kari L Priborsky, O.D.

  • Optometrist
  • Mountain Home, AR
National Provider Identifier
1184621872
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2507 Issued in AR
Practice address
2943 Highway 62 W
Mountain Home, AR 72653-6535
Phone
(870) 424-4900
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2507 AR Primary

Addresses

Primary practice location

2943 Highway 62 W
Mountain Home, AR 72653-6535

Mailing address

PO Box 444
Mountain Home, AR 72654-0444
Phone (870) 424-4900

Other identifiers 2

IdentifierTypeStateIssuer
140803722MedicaidAR
410045203OtherPALMETTA GBA - RAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20101004001042 AR Practitioner - Optometry 6901098318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kilgore Vision CenterGroup PAC ID 0345278214, 8 clinicians

Practice addresses (Care Compare)

2943 Hwy 62 W
Mountain Home, AR 72653-6535
Phone 8704244900337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2507ARMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kilgore Vision Center Optometrist CurrentSince Oct 1, 2018 Accepting new patients

Locations

105 Sawgrass Pt
Harrison, AR 72601
Phone (870) 741-1910

2943 Highway 62 W
Mountain Home, AR 72653
Phone (870) 424-3838

Interoperability endpoints

  • Direct secure messaging: kari.priborsky.p2@direct.kilgorevisioncenter.nextgenshare.com
  • Direct secure messaging: kari.priborsky.p1@direct.kilgorevisioncenter.nextgenshare.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1184621872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726540444",
            "telephone_number": "870-424-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2943 HIGHWAY 62 W",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726536535",
            "telephone_number": "870-424-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIBORSKY",
        "first_name": "KARI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140803722",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTA GBA - RAILROAD MEDICARE",
            "identifier": "410045203",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.