Provider Demographics
NPI:1699764365
Name:KNAPP, JONELLE JEAN (OD)
Entity type:Individual
Prefix:DR
First Name:JONELLE
Middle Name:JEAN
Last Name:KNAPP
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:JONELLE
Other - Middle Name:JEAN
Other - Last Name:NEFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:6416 PINEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-7745
Mailing Address - Country:US
Mailing Address - Phone:614-266-8056
Mailing Address - Fax:
Practice Address - Street 1:4881 SUGAR MAPLE DR
Practice Address - Street 2:
Practice Address - City:WRIGHT PATTERSON AFB
Practice Address - State:OH
Practice Address - Zip Code:45433-5529
Practice Address - Country:US
Practice Address - Phone:937-257-9309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5484152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist