Individual provider Active NPI

Amber Knuth, O.D.

  • Optometrist
  • Omaha, NE
National Provider Identifier
1669855862
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1439 Issued in NE
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

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150806009935 NE Practitioner - Optometry 1153635065 Reassigns benefits to 1 organization

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
Millard Family Eyecare PCGroup PAC ID 5991727729, 5 clinicians

Practice addresses (Care Compare)

2510 S 171St CT
Omaha, NE 68130-2394
Phone (402) 330-3063

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1439NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Millard Family Eyecare, P.C. Optometrist CurrentSince Aug 13, 2018 Accepting new patients
Millard Family Eyecare, P.C. Optometrist CurrentSince Aug 13, 2018 Accepting new patients
Focused Eye Care PastSince Jul 20, 2015 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.

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

Verify at the official NPI Registry.