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Dr. Kevin A Mysliwiec, O.D.

Optometrist in Jacksboro, TN · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1275539736

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Registry record

Entity type Individual (Type 1)
Name Dr. Kevin A Mysliwiec
Credential O.D.
Sex Male
Practice address 2523 Jacksboro Pike, Jacksboro, TN, 37757
Fax (423) 566-4245
Enumeration date Jun 21, 2005
Last updated in NPPES Dec 3, 2019

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 1843 (TN) Primary
152W00000X Optometrist Eye and Vision Services Providers · License 1429DT (KY) Secondary
OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

Other identifiers

Identifier Type State Issuer
77000156 Medicaid KY -
3941367 Medicaid TN -
410041149 Other - RAILROAD MEDICARE FOR JELLICO
3090877; 3154561 Other TN BCBSTN/BLUECARE/TENNCARE
3941364 Medicaid TN -
410036018 Other - RAILROAD MEDICARE FOR JACKSBORO
01260522 Other - AMERIGROUP
410047039 Other - RAILROAD MEDICARE FOR ONEIDA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Kevin Mysliwiec's NPI record?
Cross-check NPI 1275539736 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1275539736 active?
Yes, as of the latest NPPES snapshot, NPI 1275539736 is active (record last updated 2019-12-03).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-12-03.