Kathryn T. Wilson, DO

Primary specialty

OptometristTaxonomy code 152W00000X

License

1996DT Issued in KY

Practice address

3810 S Highway 27 Ste 1
Somerset, KY 42501-3073

Phone

(606) 678-4551

Fax

(606) 678-0972

NPI assigned

Jul 31, 2015

Last updated

Dec 4, 2019By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Kentucky Eye Center, PSCGroup PAC ID 4183701659, 2 clinicians

Associates in Eye Care IncGroup PAC ID 7012908643, 12 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwilsonod@southernkentuckyeye.direct.eyemdemr.com

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.

• Associates in Eye Care, Inc.

  • Optometrist
  • Somerset, KY
  • NPI 1649377177
  Medicare reassignment Care Compare group NPD
• Southern Kentucky Eye Center PSC

  • Ophthalmology Physician
  • Somerset, KY
  • NPI 1285776476

  Optometrist

  Medicare reassignment Care Compare group NPD
• Danville Eye Center, PLLC

  • Optometrist
  • Danville, KY
  • NPI 1619019213
  Medicare reassignment NPD
• Associates in Eye Care, Inc.

  • Optometrist
  • Russell Springs, KY
  • NPI 1437691276
  NPD
• Associates in Eye Care, Inc.

  • Optometrist
  • Albany, KY
  • NPI 1720190101
  NPD (past)

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1851777825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "FERGUSON",
            "state": "KY",
            "postal_code": "425330306",
            "telephone_number": "606-492-2211",
            "fax_number": "606-676-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 S HIGHWAY 27 STE 1",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013073",
            "telephone_number": "606-678-4551",
            "fax_number": "606-678-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "KATHRYN",
        "middle_name": "T.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1996DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "COMPULINK",
            "affiliation": "N",
            "endpointDescription": "SECURE SOFTWARE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ELECTRONIC HEALTH RECORDS",
            "address_1": "3810 S Highway 27 Ste 1",
            "city": "Somerset",
            "state": "KY",
            "country_code": "US",
            "postal_code": "425013073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher Jordan Wilson, PHARMD
• Hannah Bryley Wilson
• Jack Erie Wilson II
• James David Wilson, M.D.
• Karen Wilson, OCCUPATIONAL THERAPI
• Phyllis Wilson, OTRL
• Samantha L Wilson
• Sarah Jon Wilson, CSA
• Vina J Wilson
• Amanda Winchester, BCBA

• Optometrist in Somerset, KY
• Providers in Somerset, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.