PRN Eye Associates LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2999 Issued in WI

Legal business name

PRN EYE ASSOCIATES LLC

Practice address

950 Port Washington Rd
Grafton, WI 53024-9201

Phone

(262) 204-1063

NPI assigned

Aug 29, 2011

Last updated

Aug 29, 2011By 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

Kristopher T Knous, O.D.NPI 1356432199

Title

Owner

Phone

(262) 352-7932

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 3

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.

• Kristopher T. Knous, OD

  • Optometrist
  • Sheboygan, WI
  • NPI 1356432199
  Medicare reassignment Care Compare group NPD Authorized official
• Melissa J Knous, OD

  • Optometrist
  • Fredonia, WI
  • NPI 1720012073
  Medicare reassignment Care Compare group NPD
• Michelle H Lewis, O.D.

  • Optometrist
  • Grafton, WI
  • NPI 1841310547
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1356622898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 N GRANT ST",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530741459",
            "telephone_number": "262-352-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 PORT WASHINGTON RD",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530249201",
            "telephone_number": "262-204-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "KNOUS",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-352-7932",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "147398",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaylee Lynn Popp, FNP-C
• Christopher David Potter, DPT
• Megan Potter, DPT
• Timothy Jaron Pow, M.D.
• Mario R Powell, MD
• Elaine Danielle Proefrock
• Tracy Ann Prohuska, RN
• Quirt Family Dentistry, SC (Dental Care of Grafton)
• Benjamin A Quist, DPT CSCS
• Sheri E. Ramuta, O.T.

• Optometrist in Grafton, WI
• Providers in Grafton, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.