Active NPI
McKnight Eye Centers, PC
- Ophthalmology Physician
- Liberty, MO
National Provider Identifier
1174563274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MDR5G65
- Legal business name
- MCKNIGHT EYE CENTERS, PC
- Practice address
- 515 N State Route 291
Liberty, MO 64068-1045 - Phone
- (816) 781-2900
- Fax
- (816) 781-1370
- NPI assigned
- Jun 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott J McKnight, MD
- Title
- Owner
- Phone
- (816) 781-2900
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T03336 | MO | |
| Ophthalmology Physician | 207W00000X | MDR5G65 | MO | Primary |
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
515 N State Route 291
Liberty, MO 64068-1045
Mailing address
515 N State Route 291
Liberty, MO 64068-1045
Phone (816) 781-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 504770504 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
515 N State Route 291
Liberty, MO 64068
Phone (816) 781-2900
Interoperability endpoints
- nwest@mcknight.intellechartdirect.net
- neylar@mcknight.intellechartdirect.net
- smcknight@mcknight.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Liberty, MO
- NPI 1164458998
-
- Ophthalmology Physician
- Liberty, MO
- NPI 1639481492
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Liberty, MO
- NPI 1184129660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538697600000",
"number": "1174563274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 N STATE ROUTE 291",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681045",
"telephone_number": "816-781-2900",
"fax_number": "816-781-1370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 N STATE ROUTE 291",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681045",
"telephone_number": "816-781-2900",
"fax_number": "816-781-1370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCKNIGHT EYE CENTERS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2018-10-05",
"status": "A",
"authorized_official_last_name": "MCKNIGHT",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-781-2900",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MO",
"license": "T03336",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MO",
"license": "MDR5G65",
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "504770504",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.