Active NPI
William Bruce Knapp, OD
- Optometrist
- San Antonio, TX
National Provider Identifier
1053329862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3131
- Practice address
- 5275A Walzem Rd
San Antonio, TX 78218 - Phone
- (210) 653-7554
- NPI assigned
- Aug 4, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3131 | TX | Primary |
Addresses
Primary practice location
5275A Walzem Rd
San Antonio, TX 78218
Mailing address
5615 Encino Park Rd
San Antonio, TX 78240-1708
Phone (210) 690-2617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3131 | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053329862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5615 ENCINO PARK RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401708",
"telephone_number": "210-690-2617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5275A WALZEM RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78218",
"telephone_number": "210-653-7554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNAPP",
"first_name": "WILLIAM",
"middle_name": "BRUCE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "3131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.