William Arthur Knutson, O.D.
Individual provider Active NPI Optometrist · Schofield, WI
NPI 1790739555 · NPPES record last updated Feb 24, 2012
Key facts
- NPI
- 1790739555
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1812 (WI)
- Practice address
- 5608 Business Highway 51 S
Schofield, WI 54476-1331 - Phone
- (715) 359-2020
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Envision Eyecare, LLC | Optometrist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1812 | WI | Yes |
Addresses
Primary practice location
5608 Business Highway 51 S
Schofield, WI 54476-1331
Mailing address
5608 Business Highway 51 S
Schofield, WI 54476-1331
Phone (715) 359-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38518600 | Medicaid | WI |
Other providers in Schofield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.