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Physician Compare National (NPI:1669493219)

HEALTHCARE PROVIDER: HARLYNE BETH KNIGHT-HANTMAN OD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1669493219
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5890894109
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20070627000674
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name KNIGHT HANTMAN
Individual professional last name
Provider First Name HARLYNE
Individual professional first name
Provider Middle Name B
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Individual professional's medical school
Graduation Year 1980
Individual professional's medical school graduation year
Primary Specialty OPTOMETRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 17940 MILITARY TRL
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 400
Group Practice or individual's line 2 address
City BOCA RATON
Group Practice or individual's city
State FL
Group Practice or individual's state
Zip Code 334962411
Group Practice or individual's zip code (9 digits when available)
Phone Number 5619127252
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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