Individual provider Active NPI

Franklin R Knowlton, OD,PLLC

  • Optometrist
  • Layton, UT
National Provider Identifier
1215095245
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1089469934 Issued in UT
Practice address
195 E Gentile St
Suite 3
Layton, UT 84041-3754
Phone
(801) 546-2020
Fax
(801) 546-1237
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1089469934 UT Primary

Addresses

Primary practice location

195 E Gentile St
Suite 3
Layton, UT 84041-3754

Mailing address

195 E Gentile St
Suite 3
Layton, UT 84041-3754
Phone (801) 546-2020

Other identifiers 1

IdentifierTypeStateIssuer
1184917734MedicaidUT

Other names 1

  • Mr. F Renny Knowlton Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110615000810 UT Practitioner - Optometry 5294844320 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1089469934UTMDOptometrist

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Franklin R Knowlton OD PLLC Optometrist CurrentSince Jun 15, 2011 Accepting new patients
Rocky Mountain Optical Current Accepting new patients

Locations

195 E Gentile St
Ste 3
Layton, UT 84041
Phone (801) 546-2020

Networks

  • UT PPO D-SNP
  • UT PPO

Organizations & group practices 2

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314057600000",
    "number": "1215095245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 E GENTILE ST",
            "address_2": "SUITE 3",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840413754",
            "telephone_number": "801-546-2020",
            "fax_number": "801-546-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 E GENTILE ST",
            "address_2": "SUITE 3",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840413754",
            "telephone_number": "801-546-2020",
            "fax_number": "801-546-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLTON",
        "first_name": "FRANKLIN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "OD,PLLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2011-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "1089469934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184917734",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "F",
            "last_name": "KNOWLTON",
            "middle_name": "RENNY",
            "prefix": "MR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Layton, UT

Sources for this page

Verify at the official NPI Registry.