Organization Active NPI

Knobbe Eye Care and Laser Center, P.a.

  • Ophthalmology Physician
  • Denison, TX
National Provider Identifier
1497773311
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
K0871 Issued in TX
Legal business name
KNOBBE EYE CARE AND LASER CENTER, P.A.
Practice address
1014 Memorial Dr Ste 312
Denison, TX 75020-2084
Phone
(903) 416-6370
Fax
(903) 416-6371
NPI assigned
Jul 18, 2006
Last updated
Jun 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Dr. Chris Alan Knobbe, M.D.
Title
Ceo
Phone
(903) 416-6370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X K0871 TX Primary

Addresses

Primary practice location

1014 Memorial Dr Ste 312
Denison, TX 75020-2084

Mailing address

1014 Memorial Dr Ste 312
Denison, TX 75020-2084
Phone (903) 416-6370

Other identifiers 4

IdentifierTypeStateIssuer
175548001MedicaidTX
100203920AMedicaidOK
DC2255OtherTXPALMETTO MEDICARE NUMBER
0047MAOtherTXBCBS GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

1014 Memorial Dr
Ste 312
Denison, TX 75020
Phone (903) 416-6370

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1497773311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 MEMORIAL DR STE 312",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202084",
            "telephone_number": "903-416-6370",
            "fax_number": "903-416-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 MEMORIAL DR STE 312",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750202084",
            "telephone_number": "903-416-6370",
            "fax_number": "903-416-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOBBE EYE CARE AND LASER CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "KNOBBE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-416-6370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K0871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175548001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100203920A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO MEDICARE NUMBER",
            "identifier": "DC2255",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0047MA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.