Castleberry, Karen Y

Castleberry, Karen Y is an sole proprietor health care provider with primary practice located at 3700 Atlanta Hwy #141, Athens GA 30606-7201. She recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as her primary health care specialty. Castleberry, Karen Y can be contacted via phone (706) 613-6409.

Contact Information

Primary practice address
3700 Atlanta Hwy #141 Athens GA 30606-7201
Phone: (706) 613-6409
Fax: (706) 613-5514
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 1324 Georgia
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 3628 Michigan

Profile Details

NPI number 1073601514
LBN Legal business name Castleberry, Karen Y
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2006
Last updated Jan 26th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073601514 NPPES
Georgia MEDICAID 00972771A
Georgia Other 10633
Georgia MEDICAID 101679
Georgia Other 41ZCFDD

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