Organization Active NPI

Knial R Piper O.D. P.C.

  • Preferred Provider Organization
  • West Plains, MO
National Provider Identifier
1386032258
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
TO 2863 Issued in MO
Legal business name
KNIAL R PIPER O.D. P.C.
Practice address
1713 Gibson St
West Plains, MO 65775-1815
Phone
(417) 256-8393
Fax
(417) 256-7247
NPI assigned
Dec 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Dr. Knial R Piper, O.D.NPI 1083649313
Title
Optometrist
Phone
(417) 256-8393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X TO 2863 MO Primary

Addresses

Primary practice location

1713 Gibson St
West Plains, MO 65775-1815

Mailing address

1713 Gibson St
West Plains, MO 65775-1815
Phone (417) 256-8393

Other names 1

  • vision xpress Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150616001639 MO Part B Supplier - Clinic/Group Practice 3173834272 Receives reassigned benefits from 1 practitioner
Practice locations: West Plains, MO

National Provider Directory

National Provider Directory

Locations

1713 Gibson Ave
West Plains, MO 65775
Phone (417) 256-8393

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1386032258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 GIBSON ST",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657751815",
            "telephone_number": "417-256-8393",
            "fax_number": "417-256-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 GIBSON ST",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657751815",
            "telephone_number": "417-256-8393",
            "fax_number": "417-256-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIAL R PIPER O.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "PIPER",
        "authorized_official_first_name": "KNIAL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "417-256-8393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MO",
            "license": "TO 2863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "vision xpress",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Plains, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; 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.