Individual provider Active NPI

Ronald Knox, O.D.

  • Optometrist
  • Watertown, NY
National Provider Identifier
1922146901
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV004144 Issued in NY
Practice address
1000 Washington St
Watertown, NY 13601-4337
Phone
(315) 786-3937
NPI assigned
Feb 2, 2007
Last updated
Dec 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV004144 NY Primary

Addresses

Primary practice location

1000 Washington St
Watertown, NY 13601-4337

Mailing address

433 Lachenauer Dr
Watertown, NY 13601-4218
Phone (315) 788-2223

Other identifiers 2

IdentifierTypeStateIssuer
0505497150001OtherNYHEALTHNET TRICARE
0026770OtherNYBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120423000135 NY Practitioner - Optometry 2769686435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meade Opticians IncGroup PAC ID 1355460163, 2 clinicians

Practice addresses (Care Compare)

1000 Washington St
Watertown, NY 13601-4337
Phone (315) 786-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV004144NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Meade Opticians, Inc Current Accepting new patients
Meade Opticians Inc Optometrist CurrentSince May 17, 1995 Accepting new patients

Locations

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

1000 Washington St
Watertown, NY 13601
Phone (315) 786-3937

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1922146901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 LACHENAUER DR",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014218",
            "telephone_number": "315-788-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014337",
            "telephone_number": "315-786-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "RONALD",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV004144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET TRICARE",
            "identifier": "0505497150001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0026770",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.