Individual provider Active NPI

Katherine Rose Galbraith, O.D.

  • Optometrist
  • Ozark, MO
National Provider Identifier
1467802868
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2016017809 Issued in MO
Practice address
6005 N 21St St
Ozark, MO 65721-7634
Phone
(417) 582-2020
Fax
(417) 582-2027
NPI assigned
Jun 16, 2016
Last updated
Jun 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2016017809 MO Primary
Vision Therapy Optometrist 152WV0400X 2016017809 MO

Addresses

Primary practice location

6005 N 21St St
Ozark, MO 65721-7634

Mailing address

6005 N 21St St
Ozark, MO 65721-7634
Phone (417) 582-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20161205001588 MO Practitioner - Optometry 7719267905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Clinic PCGroup PAC ID 2668404161, 14 clinicians

Practice addresses (Care Compare)

3440 S National Ave
Springfield, MO 65807-7307
Phone (417) 886-5444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2016017809MOMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Development Center by VC LLC Vision Therapy Current Accepting new patients
Vision Clinic PC Optometrist CurrentSince Oct 19, 2016 Accepting new patients
Vision Clinic PC Optometrist CurrentSince Oct 19, 2016 Accepting new patients

Locations

915 State Highway 248
Ste A
Branson, MO 65616
Phone (417) 334-0044

413 N McCroskey St
Nixa, MO 65714
Phone (417) 725-0500

6005 N 21st St
Ozark, MO 65721
Phone (417) 582-2020

1650 S Enterprise Ave
Ste A100
Springfield, MO 65804
Phone (417) 889-7788

213 W Olive St
Ste 101
Springfield, MO 65806
Phone (417) 862-3937

3440 S National Ave
Springfield, MO 65807
Phone (417) 886-5444

Interoperability endpoints

  • Direct secure messaging: katie.galbraith@direct.revolutionehr.com
  • Direct secure messaging: katiegalbraith@vision-clinic-ozark.direct.kno2fy.com

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": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1467802868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 N 21ST ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657217634",
            "telephone_number": "417-582-2020",
            "fax_number": "417-582-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 N 21ST ST",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657217634",
            "telephone_number": "417-582-2020",
            "fax_number": "417-582-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALBRAITH",
        "first_name": "KATHERINE",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2016017809",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "MO",
            "license": "2016017809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, MO

Sources for this page

Verify at the official NPI Registry.