Individual provider Active NPI

Kolby Knox, O.D.

  • Optometrist
  • Zanesville, OH
National Provider Identifier
1346680576
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6208 Issued in OH
Practice address
2008 Maple Ave
Zanesville, OH 43701-2240
Phone
(740) 454-8581
Fax
(740) 454-8810
NPI assigned
Jul 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6208 OH Primary

Addresses

Primary practice location

2008 Maple Ave
Zanesville, OH 43701-2240

Mailing address

2008 Maple Ave
Zanesville, OH 43701-2240
Phone (740) 454-8581

Other identifiers 1

IdentifierTypeStateIssuer
0088357MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20130821000544 OH Practitioner - Optometry 5193968238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Trillium Vision Care of Zanesville LLCGroup PAC ID 0345604161, 6 clinicians

Practice addresses (Care Compare)

2008 Maple Ave
Zanesville, OH 43701-2240
Phone (740) 454-8581

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6208OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Trillium Vision Care of Zanesville LLC Optometrist CurrentSince May 31, 2023 Accepting new patients

Locations

4051 Northpointe Dr
Bldg 7
Zanesville, OH 43701
Phone (740) 454-6283

1180 Military Rd
Zanesville, OH 43701
Phone (740) 454-6283

2008 Maple Ave
Zanesville, OH 43701
Phone (740) 454-8581

Organizations & group practices 1

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1346680576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012240",
            "telephone_number": "740-454-8581",
            "fax_number": "740-454-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012240",
            "telephone_number": "740-454-8581",
            "fax_number": "740-454-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "KOLBY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0088357",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.