Active NPI
Kathryn Victoria Kibler Oschman, OD
- Optometrist
- Sevierville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3511
- Practice address
- 962 Dolly Parton Pkwy
Sevierville, TN 37862-3707 - Phone
- (865) 428-8000
- Fax
- (865) 428-2091
- NPI assigned
- May 8, 2018
- Last updated
- Jun 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Optometrist | 152W00000X | 3511 | TN | Primary |
Addresses
Primary practice location
962 Dolly Parton Pkwy
Sevierville, TN 37862-3707
Mailing address
1124 E Weisgarber Rd Ste 104
Knoxville, TN 37909-2686
Phone (865) 584-0905
Other practice location 1
104 Keller Ln
Maryville, TN 37801-6201
Phone (865) 681-3937
Other practice location 2
911 Highway 321 N
Lenoir City, TN 37771-6425
Phone (865) 584-0905
Other practice location 3
437 S Illinois Ave
Oak Ridge, TN 37830-7510
Phone (865) 584-0905
Other practice location 4
628 Smithview Dr
Maryville, TN 37803-6100
Phone (865) 984-7012
Other practice location 5
12744 Kingston Pike Ste 108
Knoxville, TN 37934-0941
Phone (865) 584-0905
Other practice location 6
10841 Hardin Valley Rd
Knoxville, TN 37932-1410
Phone (865) 584-0905
Other practice location 7
1124 E Weisgarber Rd Ste 100
Knoxville, TN 37909-2686
Phone (865) 584-0905
Other practice location 8
4613 Papermill Dr
Knoxville, TN 37909-1971
Phone (865) 584-0905
Other practice location 9
4829 N Broadway St Ste 103
Knoxville, TN 37918-2067
Phone (865) 584-0905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3511 | Other | TN | TN MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.31 of 100
- Quality
- 97.97
- Promoting interoperability
- 85
- Improvement activities
- 40
- Cost
- 78.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3511 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell Cunningham Taylor PC | Optometrist | Current | Accepting new patients |
| Campbell Cunningham Taylor PC | Current | Accepting new patients | |
| Campbell Cunningham & Taylor, PC | Past | Accepting new patients |
Locations
10841 Hardin Valley Rd
Knoxville, TN 37932
Phone (865) 584-0900
1124 E Weisgarber Rd
Ste 100
Knoxville, TN 37909
Phone 8655840905322
1124 E Weisgarber Rd
Ste 104
Knoxville, TN 37909
Phone 8655842127 ext. 322
12744 Kingston Pike
Ste 108
Knoxville, TN 37934
Phone (865) 934-1700
4613 Papermill Dr
Knoxville, TN 37909
Phone (865) 584-8551
4829 N Broadway St
Ste 103
Knoxville, TN 37918
Phone (865) 584-2127
911 Highway 321 N
Lenoir City, TN 37771
Phone (865) 986-1521
104 Keller Ln
Maryville, TN 37801
Phone (865) 681-3937
628 Smithview Dr
Maryville, TN 37803
Phone (865) 984-7012
437 S Illinois Ave
Oak Ridge, TN 37830
962 Dolly Parton Pkwy
Sevierville, TN 37862
Phone (865) 428-8000
Interoperability endpoints
- kkibler@ccth.intellechartdirect.net
Organizations & group practices 3
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.
-
- Optometrist
- Knoxville, TN
- NPI 1407850944
-
dba Campbell, Cunningham, & Taylor Optical Dispensary
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1902008162
-
- Durable Medical Equipment & Medical Supplies
- Knoxville, TN
- NPI 1811224348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1235628884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 E WEISGARBER RD STE 104",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379092686",
"telephone_number": "865-584-0905",
"fax_number": "865-392-5536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "962 DOLLY PARTON PKWY",
"city": "SEVIERVILLE",
"state": "TN",
"postal_code": "378623707",
"telephone_number": "865-428-8000",
"fax_number": "865-428-2091"
}
],
"practiceLocations": [
{
"address_1": "104 Keller Ln",
"address_purpose": "LOCATION",
"city": "Maryville",
"state": "TN",
"postal_code": "378016201",
"country_code": "US",
"telephone_number": "865-681-3937",
"fax_number": "865-681-3422",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "911 Highway 321 N",
"address_purpose": "LOCATION",
"city": "Lenoir City",
"state": "TN",
"postal_code": "377716425",
"country_code": "US",
"telephone_number": "865-584-0905",
"fax_number": "865-584-3892",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "437 S Illinois Ave",
"address_purpose": "LOCATION",
"city": "Oak Ridge",
"state": "TN",
"postal_code": "378307510",
"country_code": "US",
"telephone_number": "865-584-0905",
"fax_number": "865-584-3892",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "628 Smithview Dr",
"address_purpose": "LOCATION",
"city": "Maryville",
"state": "TN",
"postal_code": "378036100",
"country_code": "US",
"telephone_number": "865-984-7012",
"fax_number": "865-981-4401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12744 Kingston Pike Ste 108",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379340941",
"country_code": "US",
"telephone_number": "865-584-0905",
"fax_number": "865-392-5533",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10841 Hardin Valley Rd",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379321410",
"country_code": "US",
"telephone_number": "865-584-0905",
"fax_number": "865-584-3892",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1124 E Weisgarber Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379092686",
"country_code": "US",
"telephone_number": "865-584-0905",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4613 Papermill Dr",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379091971",
"country_code": "US",
"telephone_number": "865-584-0905",
"fax_number": "865-500-8153",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4829 N Broadway St Ste 103",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379182067",
"country_code": "US",
"telephone_number": "865-584-0905",
"fax_number": "865-500-8153",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OSCHMAN",
"first_name": "KATHRYN",
"middle_name": "VICTORIA KIBLER",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-08",
"last_updated": "2024-06-25",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3511",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN MEDICAL LICENSE",
"identifier": "3511",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sevierville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.