Active NPI
Ronald Knox, O.D.
- Optometrist
- Watertown, NY
National Provider Identifier
1922146901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV004144
- Practice address
- 1000 Washington St
Watertown, NY 13601-4337 - Phone
- (315) 786-3937
- NPI assigned
- Feb 2, 2007
- Last updated
- Dec 2, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0505497150001 | Other | NY | HEALTHNET TRICARE |
| 0026770 | Other | NY | BLUE 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| TUV004144 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meade Opticians, Inc | Current | Accepting new patients | |
| Meade Opticians Inc | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.