Katherine Louise Osborn, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2006023495 Issued in MO

Practice address

1877A N. Bluff St.
Fulton, MO 65251-2465

Phone

(573) 592-7484

Fax

(573) 592-0375

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Katherine Louise Johnston Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Central Missouri Vision Center

  dba Central Missouri Eyecare Associates

  • Optometrist
  • Jefferson City, MO
  • NPI 1104924992
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1821205568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1877A N. BLUFF ST.",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512465",
            "telephone_number": "573-592-7484",
            "fax_number": "573-592-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1877A N. BLUFF ST.",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512465",
            "telephone_number": "573-592-7484",
            "fax_number": "573-592-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "KATHERINE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2006023495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317220408",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "JOHNSTON",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Noble Health Fulton Inc (Platinum Health Systems Callaway)
• Noble Health Fulton Inc (Callaway Rural Health Clinic)
• Megan O'Grady, PSYD
• Gina M Oliver, FNP-BC
• Richard M Omohundro, D.D.S.
• Elise Pacholewski, LAT, ATC
• Elizabeth Panicker
• Alicia Pardee
• Andrew Paul Patel, M.D.
• Jennifer Michele Patrick, LCSW

• Optometrist in Fulton, MO
• Providers in Fulton, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.