Active NPI
Kent Kneip, OD
- Optometrist
- Gilbert, AZ
National Provider Identifier
1487628095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 630
- Practice address
- 1425 S Higley Rd
#103
Gilbert, AZ 85296-4798 - Phone
- (480) 840-6888
- Fax
- (480) 840-3361
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- 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 | 630 | AZ | Primary |
Addresses
Primary practice location
1425 S Higley Rd
#103
Gilbert, AZ 85296-4798
Mailing address
1425 S Higley Rd
#103
Gilbert, AZ 85296-4798
Phone (480) 840-6888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
- Southern California College of Optometry, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1425 S Higley Rd
Suite 103
Gilbert, AZ 85296-4798
Phone (480) 840-6888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 630 | AZ | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kent Kneip OD PLLC | Optometrist | Current | Accepting new patients |
| Prime Eye Care PC | Optometrist | Past | Accepting new patients |
| Advanced Laser &Eye Center of Arizona PC | Past | Accepting new patients | |
| John H McDougall OD Arizona PC | Optometrist | Past | Accepting new patients |
| 2020 Image Tempe | Optometrist | Past | Accepting new patients |
Locations
1425 S Higley Rd
Ste 103
Gilbert, AZ 85296
Phone (480) 840-6888
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 and National Provider Directory roles.
-
- Optometrist
- Gilbert, AZ
- NPI 1891964284
-
- Optometrist
- Tempe, AZ
- NPI 1629188479
-
- Ophthalmology Physician
- Gilbert, AZ
- NPI 1245284934
-
- Optometrist
- Fountain Hills, AZ
- NPI 1851882179
-
- Optometrist
- Phoenix, AZ
- NPI 1447226295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249516800000",
"number": "1487628095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 S HIGLEY RD",
"address_2": "#103",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964798",
"telephone_number": "480-840-6888",
"fax_number": "480-840-3361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 S HIGLEY RD",
"address_2": "#103",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964798",
"telephone_number": "480-840-6888",
"fax_number": "480-840-3361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNEIP",
"first_name": "KENT",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2009-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.