Knight Vision Northwest PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KNIGHT VISION NORTHWEST PLLC

Practice address

505 Cedar Ave Ste B1
Marysville, WA 98270-4561

Phone

(425) 760-1446

Fax

(425) 382-2146

NPI assigned

May 23, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Dewayne Knighton Jr., ODNPI 1386381184

Title

Owner

Phone

(425) 405-0837

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

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

• Patrick Dewayne Knighton Jr., OD

  • Optometrist
  • Mukilteo, WA
  • NPI 1386381184
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1407594138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 CEDAR AVE STE B1",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704561",
            "telephone_number": "425-760-1446",
            "fax_number": "425-382-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 CEDAR AVE STE B1",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704561",
            "telephone_number": "425-760-1446",
            "fax_number": "425-382-2146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHT VISION NORTHWEST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "KNIGHTON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-405-0837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josette Kirby
• Tyler Peter Klein, D.O.
• Sandra Raeann Klindtworth, M.S., MFT
• Michael R Klindworth, O.D.
• Olivia Margaret Klinkhammer, D.O.
• Kaeleen Knorr, LMT
• Ayse Didem Koc
• Kimberly Koehler
• Laura Maria Kogson-Pierce, DMD
• Jenny-Lee Kramar, BDS

• Optometrist in Marysville, WA
• Providers in Marysville, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.