Organization Active NPI

George Kneisser

  • Ophthalmology Physician
  • Red Bank, NJ
National Provider Identifier
1487749875
Registry record updated Nov 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GEORGE KNEISSER
Practice address
565 State Route 35
Red Bank, NJ 07701-5047
Phone
(732) 747-4443
Fax
(732) 747-4439
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2008

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

Authorized official

Name
Dr. George Kneisser, MDNPI 1982600433
Title
Owner
Phone
(732) 747-4443

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

565 State Route 35
Red Bank, NJ 07701-5047

Mailing address

565 State Route 35
Red Bank, NJ 07701-5047
Phone (732) 747-4443

Other names 1

  • Middletown Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070823000618 NJ Part B Supplier - Clinic/Group Practice 4789776618 Receives reassigned benefits from 2 practitioners
Practice locations: Red Bank, NJ

National Provider Directory

National Provider Directory

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227312000000",
    "number": "1487749875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 STATE ROUTE 35",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015047",
            "telephone_number": "732-747-4443",
            "fax_number": "732-747-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 STATE ROUTE 35",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015047",
            "telephone_number": "732-747-4443",
            "fax_number": "732-747-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE KNEISSER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-11-22",
        "status": "A",
        "authorized_official_last_name": "KNEISSER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-747-4443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middletown Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2008; 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.