Individual provider Active NPI

Ryan Christopher Knox, O.D.

  • Optometrist
  • Watertown, NY
National Provider Identifier
1649520693
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007906 Issued in NY
Practice address
1000 Washington St
Watertown, NY 13601-4337
Phone
(315) 786-3937
Fax
(315) 786-3402
NPI assigned
Sep 18, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007906 NY Primary

Addresses

Primary practice location

1000 Washington St
Watertown, NY 13601-4337

Mailing address

1000 Washington St
Watertown, NY 13601-4337
Phone (315) 786-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20131015001025 NY Practitioner - Optometry 5193959781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meade Opticians IncGroup PAC ID 1355460163, 2 clinicians

Practice addresses (Care Compare)

1000 Washington St
Watertown, NY 13601-4337
Phone (315) 786-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007906NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Meade Opticians Inc Optometrist CurrentSince Aug 1, 2012 Accepting new patients
Meade Opticians, Inc Current Accepting new patients

Locations

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

1000 Washington St
Watertown, NY 13601
Phone (315) 786-3937

Organizations & group practices 2

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": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1649520693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014337",
            "telephone_number": "315-786-3937",
            "fax_number": "315-786-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014337",
            "telephone_number": "315-786-3937",
            "fax_number": "315-786-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "RYAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.