Active NPI
Signature Eye Care, P.C.
- Optometrist
- Lincoln, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1147
- Legal business name
- SIGNATURE EYE CARE, P.C.
- Practice address
- 5630 S 84TH St
Suite 120
Lincoln, NE 68516-4470 - Phone
- (402) 488-2211
- NPI assigned
- Jul 25, 2007
- 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
- Dr. Jonathan Glyndon Knutson, O.D.
- Title
- Owner
- Phone
- (402) 488-2211
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1147 | NE | Primary |
Addresses
Primary practice location
5630 S 84TH St
Suite 120
Lincoln, NE 68516-4470
Mailing address
5630 S 84TH St
Suite 120
Lincoln, NE 68516-4470
Phone (402) 488-2211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025538200 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D2057645 | Signature Eye Care PC | Certificate of waiver | Feb 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
5630 S 84th St
Ste 120
Lincoln, NE 68516
Phone (402) 488-2211
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
- Lincoln, NE
- NPI 1003800012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207526400000",
"number": "1962692160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5630 S 84TH ST",
"address_2": "SUITE 120",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685164470",
"telephone_number": "402-488-2211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5630 S 84TH ST",
"address_2": "SUITE 120",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685164470",
"telephone_number": "402-488-2211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIGNATURE EYE CARE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-25",
"last_updated": "2008-04-07",
"status": "A",
"authorized_official_last_name": "KNUTSON",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "GLYNDON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "402-488-2211",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NE",
"license": "1147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025538200",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.