Active NPI
Nathan Knight
- Optician
- Cortland, OH
National Provider Identifier
1609644558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- OP.017618-S
- Practice address
- 2016 Millennium Blvd
Cortland, OH 44410-9173 - Phone
- (330) 372-2210
- Fax
- (330) 372-2351
- NPI assigned
- Dec 19, 2023
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | OP.017618-S | OH | Primary |
Addresses
Primary practice location
2016 Millennium Blvd
Cortland, OH 44410-9173
Mailing address
487 Charles Ave
Cortland, OH 44410-1301
Phone (330) 647-3661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP.017618-S | OH | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1609644558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "487 CHARLES AVE",
"city": "CORTLAND",
"state": "OH",
"postal_code": "444101301",
"telephone_number": "330-647-3661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2016 MILLENNIUM BLVD",
"city": "CORTLAND",
"state": "OH",
"postal_code": "444109173",
"telephone_number": "330-372-2210",
"fax_number": "330-372-2351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNIGHT",
"first_name": "NATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-19",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": "OP.017618-S",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cortland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.