Knapp Eyecare Center, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KNAPP EYECARE CENTER, INC

Doing business as

Knapp Eyecre4 Center

Practice address

212 E Wyandot Ave
Upper Sandsky, OH 43351-1432

Phone

(419) 294-2421

Fax

(419) 294-2499

NPI assigned

Aug 10, 2006

Last updated

Feb 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Randall Knapp, O.D.NPI 1437131927

Title

Owner

Phone

(419) 294-2421

Specialties & licenses 1

Addresses

Other names 1

• Knapp Eyecre4 Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Randall Knapp, O.D.

  • Sports Vision Optometrist
  • Upper Sandusky, OH
  • NPI 1437131927
  Medicare reassignment Authorized official
• Kimberley Renee Barnes, O.D.

  • Optometrist
  • Upper Sandusky, OH
  • NPI 1003898925
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1265443907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "city": "UPPER SANDSKY",
            "state": "OH",
            "postal_code": "433510540",
            "telephone_number": "419-294-2421",
            "fax_number": "419-294-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E WYANDOT AVE",
            "city": "UPPER SANDSKY",
            "state": "OH",
            "postal_code": "433511432",
            "telephone_number": "419-294-2421",
            "fax_number": "419-294-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNAPP EYECARE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-294-2421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Knapp Eyecre4 Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tina L. Kennedy

• Optometrist in Upper Sandsky, OH
• Providers in Upper Sandsky, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.