Individual provider Active NPI

Josephus Knight Jr., O.D.

  • Optometrist
  • Flint, MI
National Provider Identifier
1487714648
Registry record updated May 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004210 Issued in MI
Practice address
4487 Miller Rd
Flint, MI 48507-1126
Phone
(810) 406-4866
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004210 MI Primary

Addresses

Primary practice location

4487 Miller Rd
Flint, MI 48507-1126

Mailing address

4487 Miller Rd
Flint, MI 48507-1126
Phone (810) 406-4866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20070720000861 MI Practitioner - Optometry 3173624038 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist CurrentSince Apr 26, 2016 Accepting new patients
SVS Vision Inc Optometrist Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

6602 Telegraph Rd
Bloomfield Hills, MI 48301
Phone (248) 419-3500

455 E Grand River Ave
Brighton, MI 48116
Phone (810) 227-2376

618 N State Rd
Davison, MI 48423
Phone (810) 742-6733

355 S Broadway St
Lake Orion, MI 48362
Phone (248) 693-8666

118 Cass Ave
Mount Clemens, MI 48043
Phone (586) 464-1479

Organizations & group practices 3

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432512000000",
    "number": "1487714648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4487 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071126",
            "telephone_number": "810-406-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4487 MILLER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071126",
            "telephone_number": "810-406-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "JOSEPHUS",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2015-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.