Active NPI
Naomi R. Knoller, O.D., P.C.
- Optometrist
- Hawthorne, NY
National Provider Identifier
1780988113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV005003-1
- Legal business name
- NAOMI R. KNOLLER, O.D., P.C.
- Practice address
- 40 Saw Mill River Rd Ste FB2
Hawthorne, NY 10532-1528 - Phone
- (914) 579-2344
- Fax
- (914) 579-2346
- NPI assigned
- Dec 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Naomi R. Knoller, O.D.
- Title
- Officer/Shareholder
- Phone
- (914) 579-2344
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV005003-1 | NY | Primary |
Addresses
Primary practice location
40 Saw Mill River Rd Ste FB2
Hawthorne, NY 10532-1528
Mailing address
40 Saw Mill River Rd Ste FB2
Hawthorne, NY 10532-1528
Phone (914) 579-2344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
40 Saw Mill River Rd
Ste FB2
Hawthorne, NY 10532
Phone (914) 579-2344
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Hawthorne, NY
- NPI 1285691253
-
- Retina Specialist (Ophthalmology) Physician
- Yonkers, NY
- NPI 1588601793
-
- Ophthalmology Physician
- Valhalla, NY
- NPI 1043203995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604361600000",
"number": "1780988113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 SAW MILL RIVER RD STE FB2",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321528",
"telephone_number": "914-579-2344",
"fax_number": "914-579-2346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 SAW MILL RIVER RD STE FB2",
"city": "HAWTHORNE",
"state": "NY",
"postal_code": "105321528",
"telephone_number": "914-579-2344",
"fax_number": "914-579-2346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAOMI R. KNOLLER, O.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-28",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A",
"authorized_official_last_name": "KNOLLER",
"authorized_official_first_name": "NAOMI",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "OFFICER/SHAREHOLDER",
"authorized_official_telephone_number": "914-579-2344",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "TUV005003-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.