Individual provider Active NPI

Ekaterina Knobel-Osborne, O.D.

  • Optometrist
  • Skokie, IL
National Provider Identifier
1891843587
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
9450 Skokie Blvd
Skokie, IL 60077-1311
Phone
(847) 677-7202
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

9450 Skokie Blvd
Skokie, IL 60077-1311

Mailing address

6635 N Kostner Ave
Lincolnwood, IL 60712-3524
Phone (312) 427-3735

Other names 1

  • Kathy Knobel Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20091116000531 IL Practitioner - Optometry 3870631658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Dr Kaplan and Associates PCGroup PAC ID 9931259330, 6 clinicians

Practice addresses (Care Compare)

680 S Rand Rd
Lake Zurich, IL 60047-3409
Phone (847) 540-3051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009295ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Kaplan & Associates, P.C. Optometrist CurrentSince Nov 9, 2010 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

680 S Rand Rd
Lake Zurich, IL 60047
Phone (847) 540-3050

25901 N Riverwoods Rd
Mettawa, IL 60045
Phone (847) 235-1302

Organizations & group practices 2

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891843587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6635 N KOSTNER AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123524",
            "telephone_number": "312-427-3735",
            "fax_number": "312-427-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 SKOKIE BLVD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771311",
            "telephone_number": "847-677-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOBEL-OSBORNE",
        "first_name": "EKATERINA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "KNOBEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.