Individual
DUANE KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
140 W 5TH S, BOUNTIFUL, UT 84010-6232
(801) 292-0479
(801) 292-7019
Mailing address
1901 W PARKWAY BLVD, SALT LAKE CITY, UT 84119
(801) 886-2020
(801) 954-0054
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2773469934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000009430
MEDICARE STORE #9 PTAN
UT
01
—
000009542
MEDICARE STORE #11 PTAN
UT
01
—
000090374
MEDICARE STORE #10 PTAN
UT
01
—
009037404
MEDICARE
UT
01
—
009602004
MEDICARE
UT
05
—
1306935523
—
UT
Enumeration date
10/12/2006
Last updated
09/19/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us