KM Vision Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KM VISION INC.

Doing business as

Pearle Vision

Practice address

3700 Atlanta Highway 141 Georgia Square Mall
Athens, GA 30606-7420

Phone

(706) 613-6409

Fax

(706) 613-5514

NPI assigned

Jan 11, 2010

Last updated

Oct 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Karen Y Castleberry, O.D.NPI 1073601514

Title

Owner/Provider

Phone

(706) 613-6409

Specialties & licenses 1

Addresses

Other names 1

• Pearle Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Y Castleberry, O.D.

  • Corneal and Contact Management Optometrist
  • Athens, GA
  • NPI 1073601514
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1263168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1841520038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 ATLANTA HIGHWAY 141 GEORGIA SQUARE MALL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067420",
            "telephone_number": "706-613-6409",
            "fax_number": "706-613-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 ATLANTA HIGHWAY 141 GEORGIA SQUARE MALL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067420",
            "telephone_number": "706-613-6409",
            "fax_number": "706-613-5514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KM VISION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "CASTLEBERRY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "706-613-6409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebekah Kitchens
• Michelle Klaw
• Ellen P Klein, MSW
• Abigail Averett Kles, M.ED., CCC-SLP
• Karl J. Kline, PA-C
• Leigh Whaley Knight
• Michael Knight, RN
• Robert Edward Knight Jr.
• Sylvia F. Knight, PH.D.
• Kyelin Knowles, MD

• Optometrist in Athens, GA
• Providers in Athens, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.