MEDICARE: KNAUER &SMITHWICK OPHTHALMOLOGY ASSOCIATES PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	ME0042581	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730275124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KNAUER &SMITHWICK OPHTHALMOLOGY ASSOCIATES PA

Provider Business Mailing Address
First Line	:	2535 RIVERSIDE AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32204-4710
Country	:	US
Telephone Number	:	904-388-6548
Fax Number	:	904-389-8157

Provider Business Practice Location Address
First Line	:	2535 RIVERSIDE AVE
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32204-4710
Country	:	US
Telephone Number	:	904-388-6548
Fax Number	:	904-389-8157

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILLIAM J KNAUER III
Credential	:	M.D.
Telephone Number	:	904-388-6548

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	02/13/2015

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