Active NPI
Kent Kneip OD PLLC
- Optometrist
- Gilbert, AZ
National Provider Identifier
1891964284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 630
- Legal business name
- KENT KNEIP OD PLLC
- Practice address
- 1425 S Higley Rd Ste 103
Gilbert, AZ 85296-4798 - Phone
- (480) 840-6888
- Fax
- (480) 840-3361
- NPI assigned
- Feb 29, 2008
- 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
- Mrs. Gabriella Victorio
- Title
- Manager/Optician
- Phone
- (480) 840-6888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 630 | AZ | Primary |
Addresses
Primary practice location
1425 S Higley Rd Ste 103
Gilbert, AZ 85296-4798
Mailing address
1425 S Higley Rd Ste 103
Gilbert, AZ 85296-4798
Phone (480) 840-6888
Other names 1
- Neighborhood Vision Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1425 S Higley Rd
Ste 103
Gilbert, AZ 85296
Phone (480) 840-6888
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Gilbert, AZ
- NPI 1487628095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249516800000",
"number": "1891964284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 S HIGLEY RD STE 103",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964798",
"telephone_number": "480-840-6888",
"fax_number": "480-840-3361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 S HIGLEY RD STE 103",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964798",
"telephone_number": "480-840-6888",
"fax_number": "480-840-3361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENT KNEIP OD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-29",
"last_updated": "2009-08-06",
"status": "A",
"authorized_official_last_name": "VICTORIO",
"authorized_official_first_name": "GABRIELLA",
"authorized_official_title_or_position": "MANAGER/OPTICIAN",
"authorized_official_telephone_number": "480-840-6888",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "AZ",
"license": "630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Neighborhood Vision Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.