Provider Demographics
NPI:1346235009
Name:KNAPKE, GENE F (OD)
Entity Type:Individual
Prefix:DR
First Name:GENE
Middle Name:F
Last Name:KNAPKE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 SAINT CLAIR PL
Mailing Address - Street 2:
Mailing Address - City:NEW BREMEN
Mailing Address - State:OH
Mailing Address - Zip Code:45869-9690
Mailing Address - Country:US
Mailing Address - Phone:419-629-2629
Mailing Address - Fax:
Practice Address - Street 1:431 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NEW BREMEN
Practice Address - State:OH
Practice Address - Zip Code:45869-1254
Practice Address - Country:US
Practice Address - Phone:419-629-3241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3616/T519152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0519791Medicaid
OH0519791Medicaid
OHT47866Medicare UPIN