Individual provider Active NPI

W J Knauer III, MD

  • Ophthalmology Physician
  • Jacksonville, FL
National Provider Identifier
1104896158
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
41501 Issued in FL
Practice address
2535 Riverside Ave
Jacksonville, FL 32204-4710
Phone
(904) 388-6548
Fax
(904) 389-8157
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 41501 FL Primary

Addresses

Primary practice location

2535 Riverside Ave
Jacksonville, FL 32204-4710

Mailing address

2535 Riverside Ave
Jacksonville, FL 32204-4710
Phone (904) 388-6548

Other identifiers 1

IdentifierTypeStateIssuer
069417700MedicaidFL

Other names 1

  • Dr. W J Knauer III Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110330000374 FL Practitioner - Ophthalmology 4688857519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Wake Forest University School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Levenson Eye Associates IncGroup PAC ID 4082764089, 9 clinicians

Practice addresses (Care Compare)

751 Oak St
Suite 200
Jacksonville, FL 32204-3361
Phone (904) 366-3781

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
41501FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Levenson Eye Associates, Inc. Ophthalmology CurrentSince Jan 1, 2019 Accepting new patients

Locations

751 Oak St
Ste 200
Jacksonville, FL 32204
Phone (904) 366-3781

2535 Riverside Ave
Jacksonville, FL 32204
Phone (904) 388-6548

3 Shircliff Way
Ste 122
Jacksonville, FL 32204
Phone (904) 384-2333

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279670400000",
    "number": "1104896158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044710",
            "telephone_number": "904-388-6548",
            "fax_number": "904-389-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044710",
            "telephone_number": "904-388-6548",
            "fax_number": "904-389-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAUER",
        "first_name": "W",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2010-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "41501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069417700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "W",
            "last_name": "KNAUER",
            "middle_name": "J",
            "prefix": "DR.",
            "suffix": "III",
            "credential": "MD.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.