Individual provider Active NPI

Kathryn Victoria Kibler Oschman, OD

  • Optometrist
  • Sevierville, TN
National Provider Identifier
1235628884
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3511 Issued in TN
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3511OtherTNTN 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190722003123 TN Practitioner - Optometry 3779819214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.31 of 100Reported as group
Quality
97.97
Promoting interoperability
85
Improvement activities
40
Cost
78.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3511TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell Cunningham Taylor PC Optometrist CurrentSince Jun 12, 2019 Accepting new patients
Campbell Cunningham Taylor PC CurrentSince Jun 12, 2019 Accepting new patients
Campbell Cunningham & Taylor, PC PastSince Jan 17, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.