Active NPI
Amber Knuth, O.D.
- Optometrist
- Omaha, NE
National Provider Identifier
1669855862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1439
- Practice address
- 12660 Q Street
Undefined
Omaha, NE 68137-3332 - Phone
- (402) 896-3300
- Fax
- (402) 896-5931
- NPI assigned
- Jul 7, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1439 | NE | Primary |
Addresses
Primary practice location
12660 Q Street
Undefined
Omaha, NE 68137-3332
Mailing address
22430 S Shore Dr
Waterloo, NE 68069-9766
Phone (402) 270-0434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2510 S 171St CT
Omaha, NE 68130-2394
Phone (402) 330-3063
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1439 | NE | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millard Family Eyecare, P.C. | Optometrist | Current | Accepting new patients |
| Millard Family Eyecare, P.C. | Optometrist | Current | Accepting new patients |
| Focused Eye Care | Past | Accepting new patients |
Locations
2510 S 171st Ct
Omaha, NE 68130
Phone (402) 330-3063
12660 Q St
Omaha, NE 68137
Phone (402) 884-6841
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.
-
- Optometrist
- Omaha, NE
- NPI 1669522728
-
- Optometrist
- Omaha, NE
- NPI 1023522661
-
- Durable Medical Equipment & Medical Supplies
- Omaha, NE
- NPI 1215010293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1669855862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22430 S SHORE DR",
"city": "WATERLOO",
"state": "NE",
"postal_code": "680699766",
"telephone_number": "402-270-0434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12660 Q STREET",
"address_2": "UNDEFINED",
"city": "OMAHA",
"state": "NE",
"postal_code": "681373332",
"telephone_number": "402-896-3300",
"fax_number": "402-896-5931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUTH",
"first_name": "AMBER",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-07",
"last_updated": "2021-03-02",
"certification_date": "2021-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "1439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.