Millicent L Knight, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008145 Issued in IL

Practice address

2914 Central St
Evanston, IL 60201-1237

Phone

(847) 864-4768

Fax

(847) 864-4795

NPI assigned

Jul 28, 2006

Last updated

Feb 10, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• North Shore Eye Center, Inc.

  • Optometrist
  • Evanston, IL
  • NPI 1578636825
  Authorized official Same address or phone

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391990400000",
    "number": "1720092257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5455 HARRISON PARK LN",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162245",
            "telephone_number": "317-254-6480",
            "fax_number": "317-259-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 CENTRAL ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011237",
            "telephone_number": "847-864-4768",
            "fax_number": "847-864-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "MILLICENT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008145",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Anthony Klodd, PH.D.
• Wendy Klunk
• Kate Knappenberger, MS, RD, CSSD, ATC
• Cathleen Patricia Knauss, NP
• Jack J Knight, LCSW
• Lynne M Knobloch-Fedders, PHD
• Richard H. Knop, MD
• Christopher Knoper, LCSW
• Lakeethina Knox
• Erika Knuth, PHD

• Optometrist in Evanston, IL
• Providers in Evanston, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.