Organization Active NPI

Knauer &Smithwick Ophthalmology Associates PA

  • Ophthalmology Physician
  • Jacksonville, FL
National Provider Identifier
1730275124
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0042581 Issued in FL
Legal business name
KNAUER &SMITHWICK OPHTHALMOLOGY ASSOCIATES PA
Practice address
2535 Riverside Ave
Jacksonville, FL 32204-4710
Phone
(904) 388-6548
Fax
(904) 389-8157
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Authorized official

Name
Dr. William J Knauer III, M.D.
Title
President
Phone
(904) 388-6548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X ME0042581 FL Primary

Addresses

Primary practice location

2535 Riverside Ave
Jacksonville, FL 32204-4710

Mailing address

2535 Riverside Ave
Jacksonville, FL 32204-4710
Phone (904) 388-6548

Other identifiers 1

IdentifierTypeStateIssuer
0694177-00MedicaidFL

National Provider Directory

National Provider Directory

Locations

2535 Riverside Ave
Jacksonville, FL 32204
Phone (904) 388-6548

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1730275124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044710",
            "telephone_number": "904-388-6548",
            "fax_number": "904-389-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 RIVERSIDE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044710",
            "telephone_number": "904-388-6548",
            "fax_number": "904-389-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNAUER &SMITHWICK OPHTHALMOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "KNAUER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-388-6548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0042581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0694177-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.