Active NPI
Jaclyn McKnight, O.D.
- Optometrist
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 5315
- Practice address
- 800 E Bay Dr
Suite G
Largo, FL 33770-2532 - Phone
- (727) 585-8521
- NPI assigned
- Jan 27, 2017
- Last updated
- Feb 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 5315 | FL | Primary |
Addresses
Primary practice location
800 E Bay Dr
Suite G
Largo, FL 33770-2532
Mailing address
14967 Imperial Point Dr N
Largo, FL 33774-4912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11290 Park Blvd
Suite B
Seminole, FL 33772-4865
Phone (727) 374-5121
5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 5315 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting new patients |
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting new patients |
| Eye Doctors Optical Outlets PA | Optometrist | Past | Accepting new patients |
| Eye Doctors Optical Outlets PA | Optometrist | Past | Accepting new patients |
| Eye Doctors Optical Outlets PA | Optometrist | Past | Accepting new patients |
Locations
3740 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 547-4856
6901 22nd Ave N
Rm 760
St Petersburg, FL 33710
Phone (727) 343-3006
6927 4th St N
St Petersburg, FL 33702
Phone (727) 210-8672
5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873
Networks
- Freedom Health HMO Network
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487808000000",
"number": "1285171272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14967 IMPERIAL POINT DR N",
"city": "LARGO",
"state": "FL",
"postal_code": "337744912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E BAY DR",
"address_2": "SUITE G",
"city": "LARGO",
"state": "FL",
"postal_code": "337702532",
"telephone_number": "727-585-8521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKNIGHT",
"first_name": "JACLYN",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-27",
"last_updated": "2017-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 5315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.