Individual
DR. DIANA LYNN MCKNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8419 ELK GROVE-FLORIN RD, ELK GROVE, CA 95624-9518
(916) 681-1101
(916) 682-8891
Mailing address
8419 ELK GROVE-FLORIN RD, ELK GROVE, CA 95624-9518
(916) 681-1101
(916) 682-8891
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1107T
CA
152W00000X
Optometrist
Primary
11307TPG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200664396
FEDERAL ID NUMBER
—
05
—
SD0113070
—
CA
Enumeration date
03/18/2006
Last updated
05/14/2020
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