Individual provider Active NPI

Laura Jean Knapp, O.D.

  • Vision Therapy Optometrist
  • Fair Lawn, NJ
National Provider Identifier
1245518323
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
27OA00671000 Issued in NJ
Practice address
17-10 Fair Lawn Ave
2ND Floor
Fair Lawn, NJ 07410-2324
Phone
(201) 794-7977
NPI assigned
Jul 24, 2011
Last updated
Jun 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002061 VA
Vision Therapy Optometrist 152WV0400X 27OA00671000 NJ Primary

Addresses

Primary practice location

17-10 Fair Lawn Ave
2ND Floor
Fair Lawn, NJ 07410-2324

Mailing address

17-10 Fair Lawn Ave
2ND Floor
Fair Lawn, NJ 07410-2324
Phone (201) 794-7977

Other identifiers 1

IdentifierTypeStateIssuer
1245518323MedicaidVA

Other names 1

  • Miss Laura Jean Satkofsky Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20170707000223 NJ Practitioner - Optometry 1951574631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17 -10 Fair Lawn Ave
FL 2
Fair Lawn, NJ 07410-2324
Phone (201) 794-7977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002061VAMDOptometrist
27OA00671000NJMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visual Performance and Learning Center PC Vision Therapy CurrentSince Mar 6, 2017 Accepting new patients
Family Eyecare Associates, PC Optometrist CurrentSince Apr 18, 2017 Accepting new patients
Teresa a Shenouda MD PLLC Past Accepting new patients

Locations

17-10 Fair Lawn Ave
Fl 2
Fair Lawn, NJ 07410
Phone (201) 794-7977

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13340/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1245518323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17-10 FAIR LAWN AVE",
            "address_2": "2ND FLOOR",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102324",
            "telephone_number": "201-794-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17-10 FAIR LAWN AVE",
            "address_2": "2ND FLOOR",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102324",
            "telephone_number": "201-794-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-24",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002061",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NJ",
            "license": "27OA00671000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245518323",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "SATKOFSKY",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.