Individual provider Active NPI

Curtis Knight

  • Optometrist
  • Inglewood, CA
National Provider Identifier
1710968292
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6270T Issued in CA
Practice address
8475 S Van Ness Ave
Suite 103
Inglewood, CA 90305-1562
Phone
(323) 759-3721
Fax
(323) 759-6378
NPI assigned
Nov 10, 2005
Last updated
Jun 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6270T CA Primary

Addresses

Primary practice location

8475 S Van Ness Ave
Suite 103
Inglewood, CA 90305-1562

Mailing address

8475 S Van Ness Ave
Suite 103
Inglewood, CA 90305-1562
Phone (323) 759-3721

Other identifiers 1

IdentifierTypeStateIssuer
SD0062700MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000290 CA Practitioner - Optometry 8224169040 Practice locations: Inglewood, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6270TCAMDOptometrist

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276732800000",
    "number": "1710968292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8475 S VAN NESS AVE",
            "address_2": "SUITE 103",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903051562",
            "telephone_number": "323-759-3721",
            "fax_number": "323-759-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8475 S VAN NESS AVE",
            "address_2": "SUITE 103",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903051562",
            "telephone_number": "323-759-3721",
            "fax_number": "323-759-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "CURTIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2010-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6270T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0062700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.