Individual provider Active NPI

John Doyle Knouse, O.D.

  • Optometrist
  • Dublin, PA
National Provider Identifier
1851399281
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000936 Issued in PA
Practice address
174 N Main St
Dublin, PA 18917-2108
Phone
(215) 249-3937
NPI assigned
Jul 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000936 PA Primary
Eyewear Supplier 332H00000X OEG000936 PA

Addresses

Primary practice location

174 N Main St
Dublin, PA 18917-2108

Mailing address

174 N Main St
Dublin, PA 18917-2108
Phone (215) 249-3937

Other identifiers 1

IdentifierTypeStateIssuer
P00859467OtherPARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040119000222 PA Practitioner - Optometry 0143121525 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Dublin, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wisber Eye Care PC 4 clinicians

Practice addresses (Care Compare)

174 N Main St
Dublin, PA 18917-2001
Phone (215) 249-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000936PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wisber Eye Care PC Optometrist CurrentSince Feb 22, 2019 Accepting new patients

Locations

174 N Main St
Dublin, PA 18917
Phone (215) 249-3937

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1120953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1851399281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 N MAIN ST",
            "city": "DUBLIN",
            "state": "PA",
            "postal_code": "189172108",
            "telephone_number": "215-249-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 N MAIN ST",
            "city": "DUBLIN",
            "state": "PA",
            "postal_code": "189172108",
            "telephone_number": "215-249-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOUSE",
        "first_name": "JOHN",
        "middle_name": "DOYLE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-10",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000936",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "OEG000936",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00859467",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, PA

Sources for this page

Verify at the official NPI Registry.