Active NPI
Lisa Lynn Knapp, O.D.
- Optometrist
- Oxnard, CA
National Provider Identifier
1700867470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 8764 TPA
- Practice address
- 1545 W 5TH St
Suite 100
Oxnard, CA 93030-6510 - Phone
- (805) 382-2020
- Fax
- (805) 985-1448
- NPI assigned
- Nov 9, 2005
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | OPT 8764 TPA | CA | Primary |
Addresses
Primary practice location
1545 W 5TH St
Suite 100
Oxnard, CA 93030-6510
Mailing address
1545 W 5TH St
Suite 100
Oxnard, CA 93030-6510
Phone (805) 382-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0087640 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1545 W 5TH St
Suite 100
Oxnard, CA 93030-6510
Phone (805) 382-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 8764 TPA | CA | MD | Optometrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Oxnard, CA
- NPI 1871621755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700867470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 W 5TH ST",
"address_2": "SUITE 100",
"city": "OXNARD",
"state": "CA",
"postal_code": "930306510",
"telephone_number": "805-382-2020",
"fax_number": "805-985-1448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 W 5TH ST",
"address_2": "SUITE 100",
"city": "OXNARD",
"state": "CA",
"postal_code": "930306510",
"telephone_number": "805-382-2020",
"fax_number": "805-985-1448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNAPP",
"first_name": "LISA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 8764 TPA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0087640",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.