Individual provider Active NPI

Phillip L. Knapp, OD

  • Corneal and Contact Management Optometrist
  • Littleton, CO
National Provider Identifier
1942280185
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
1680 Issued in CO
Practice address
11852 Shaffer Dr
Building M
Littleton, CO 80127-3764
Phone
(303) 933-0353
NPI assigned
Jan 21, 2006
Last updated
Jul 31, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 1680 CO Primary

Addresses

Primary practice location

11852 Shaffer Dr
Building M
Littleton, CO 80127-3764

Mailing address

11852 Shaffer Dr
Building M
Littleton, CO 80127-3764
Phone (303) 933-0353

Other identifiers 1

IdentifierTypeStateIssuer
1942280185OtherCONPI PERSOANL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20050927000546 CO Practitioner - Optometry 7810921004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11852 Shaffer Dr
Suite M
Littleton, CO 80127-3764
Phone (303) 933-0353

11852 Shaffer Dr M
Littleton, CO 80127-3764

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1680COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bowles Avenue Eye Care, Inc Corneal and Contact Management CurrentSince Sep 21, 2007 Accepting new patients

Locations

11852 Shaffer Dr
Ste M
Littleton, CO 80127
Phone (303) 933-0353

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, 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": "1137801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1942280185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11852 SHAFFER DR",
            "address_2": "BUILDING M",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273764",
            "telephone_number": "303-933-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11852 SHAFFER DR",
            "address_2": "BUILDING M",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801273764",
            "telephone_number": "303-933-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNAPP",
        "first_name": "PHILLIP",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-21",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "1680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PERSOANL",
            "identifier": "1942280185",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.