Individual provider Active NPI

Kathryn R McCampbell, OD

  • Optometrist
  • Gladstone, MO
National Provider Identifier
1285663336
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2005020649 Issued in MO
Practice address
7207 N M1 Hwy
Gladstone, MO 64119-5351
Phone
(816) 436-5823
NPI assigned
Jul 1, 2006
Last updated
May 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2005020649 MO Primary
Optometrist 152W00000X 2111 KS
Optometrist 152W00000X 02337 IA

Addresses

Primary practice location

7207 N M1 Hwy
Gladstone, MO 64119-5351

Mailing address

12215 N Atkins Ave
Kansas City, MO 64163-7301
Phone (641) 414-7799

Other practice location 1

2144 SW 36th St
Topeka, KS 66611-2554
Phone (785) 266-1010

Other practice location 2

908 N Belt Hwy
Saint Joseph, MO 64506-3013
Phone (816) 396-0646

Other practice location 3

5100 Bob Billings Pkwy Ste 100
Lawrence, KS 66049-4094
Phone (785) 841-2020

Other identifiers 4

IdentifierTypeStateIssuer
292703OtherIACOVENTRY
0492850MedicaidIA
250894OtherIAMIDLANDS CHOICE
19129OtherIAWELLMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20200303002450 KS Practitioner - Optometry 9133122476 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atteberry Eye Centers LLC Optometrist CurrentSince Feb 6, 2021 Accepting new patients
Atteberry Eye Centers LLC Optometrist CurrentSince Feb 6, 2021 Accepting new patients
Sabates Eye Centers PA Past Accepting new patients
Drees Family & Sports Chiropractic, Inc Past Accepting new patients
Family Eye Care of Osceola PC Optometrist Past Accepting new patients

Locations

5100 Bob Billings Pkwy
Ste 100
Lawrence, KS 66049
Phone (785) 841-2020

2144 SW 36th St
Topeka, KS 66611
Phone (785) 266-1010

Organizations & group practices 6

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1285663336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12215 N ATKINS AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641637301",
            "telephone_number": "641-414-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207 N M1 HWY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641195351",
            "telephone_number": "816-436-5823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2144 SW 36th St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666112554",
            "country_code": "US",
            "telephone_number": "785-266-1010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "908 N Belt Hwy",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645063013",
            "country_code": "US",
            "telephone_number": "816-396-0646",
            "fax_number": "816-233-3875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5100 Bob Billings Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660494094",
            "country_code": "US",
            "telephone_number": "785-841-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCAMPBELL",
        "first_name": "KATHRYN",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2005020649",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2111",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02337",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "292703",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0492850",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "250894",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "19129",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladstone, MO

Sources for this page

Verify at the official NPI Registry.