NPIMap

Organization Active NPI

Amk Eyecare, P.C.

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1093145609
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2418 Issued in GA
Legal business name
AMK EYECARE, P.C.
Practice address
2020 Howell Mill Rd NW
37
Atlanta, GA 30318-1732
Phone
(404) 835-2975
Fax
(404) 835-2976
NPI assigned
Nov 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Andrea Michelle Knouff, O.D.NPI 1134388465
Title
Owner
Phone
(678) 592-5795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 2418 GA Primary

Addresses

Primary practice location

2020 Howell Mill Rd NW
37
Atlanta, GA 30318-1732

Mailing address

2020 Howell Mill Rd NW
37
Atlanta, GA 30318-1732
Phone (404) 835-2975

Other names 1

  • Eyeclectic Vision Source Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131126001390 GA Part B Supplier - Clinic/Group Practice 4082840830 Receives reassigned benefits from 4 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

2020 Howell Mill Rd NW
Ste 37
Atlanta, GA 30318
Phone (404) 835-2975

2020 Howell Mill Rd NW
#37
Atlanta, GA 30318
Phone (404) 835-2975

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1093145609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 HOWELL MILL RD NW",
            "address_2": "37",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303181732",
            "telephone_number": "404-835-2975",
            "fax_number": "404-835-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 HOWELL MILL RD NW",
            "address_2": "37",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303181732",
            "telephone_number": "404-835-2975",
            "fax_number": "404-835-2976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMK EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "KNOUFF",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-592-5795",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyeclectic Vision Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.