Individual provider Active NPI

Kathryn Camille Barberic, O.D.

  • Optometrist
  • Goodlettsville, TN
National Provider Identifier
1962841056
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD3112 Issued in TN
Practice address
520 Rivergate Parkway
Goodlettsville, TN 37072-2030
Phone
(615) 859-3937
Fax
(615) 859-3919
NPI assigned
Jun 21, 2013
Last updated
Apr 26, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 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 3112 TN
Optometrist 152W00000X OD3112 TN Primary

Addresses

Primary practice location

520 Rivergate Parkway
Goodlettsville, TN 37072-2030

Mailing address

520 Rivergate Parkway
Goodlettsville, TN 37072-2030
Phone (615) 859-3937

Other identifiers 1

IdentifierTypeStateIssuer
Q009232MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20130819000590 TN Practitioner - Optometry 1759523954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cool Springs Eyecare PLLCGroup PAC ID 8921193285, 7 clinicians

Practice addresses (Care Compare)

3252 Aspen Grove Dr
Suite 1
Franklin, TN 37067-0001
Phone (615) 771-7555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3112TNMDRegistered Dietitian
OD3112TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cool Springs Eyecare, PLLC Optometrist CurrentSince Dec 1, 2021 Accepting new patients

Locations

3252 Aspen Grove Dr
Ste 1
Franklin, TN 37067
Phone (615) 771-7555

Organizations & group practices 1

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": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1962841056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 RIVERGATE PARKWAY",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722030",
            "telephone_number": "615-859-3937",
            "fax_number": "615-859-3919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 RIVERGATE PARKWAY",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722030",
            "telephone_number": "615-859-3937",
            "fax_number": "615-859-3919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBERIC",
        "first_name": "KATHRYN",
        "middle_name": "CAMILLE",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3112",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD3112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q009232",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.