Provider / Organization | NPI | Date Certified |
---|---|---|
GREGORY J KNIGHT | 1538295779 | 2024-07-05 |
Gregory J Knight OD [M] graduated in 1987 from Ohio State University - College Of Optometry and primarily specializes in Optometry.
Gregory J Knight is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1538295779. Registration indicates Gregory J Knight is a provider of access to ophthalmic care services with a specialization in Eye & Vision Services Providers, Optometrist (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers)
PECOS ID | 2860422318 |
Registration | PART-B:Y DME:Y HHA:Y PMD:N |
Entity Type | Individual |
Provider Name | Dr. Gregory J Knight OD |
Practice Office Address | 2425 LOCUST ST S CANAL FULTON, OH US |
Practice Office Telephone | 3308541393 |
Practice Office Fax | 3302667657 |
Mailing Address | 8614 WESTWOOD CENTER DR FL 9 VIENNA, VA 221822442 US |
Business Telephone | 7038478899 |
Business Fax | 5712236780 |
Code | Practice | License No State |
---|---|---|
152W00000X PRIMARY | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers | 3947
OH |
0206440 | MEDICAID | OH |