Organization Active NPI

McKnight Eye Centers, PC

  • Ophthalmology Physician
  • Liberty, MO
National Provider Identifier
1174563274
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MDR5G65 Issued in MO
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

Updated by the provider on Oct 5, 2018

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

Authorized official

Name
Dr. Scott J McKnight, MDNPI 1164458998
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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X T03336 MO
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
504770504MedicaidMO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090219000397 MO Part B Supplier - Clinic/Group Practice 8527123850 Receives reassigned benefits from 6 practitioners
Practice locations: Liberty, MO

National Provider Directory

National Provider Directory

Locations

515 N State Route 291
Liberty, MO 64068
Phone (816) 781-2900

Interoperability endpoints

  • Direct secure messaging: nwest@mcknight.intellechartdirect.net
  • Direct secure messaging: neylar@mcknight.intellechartdirect.net
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.