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Organization

LEROY KNOX

Active
Other names
Knox Optical Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LEROY KNOX (OWNER)
(724) 228-1028
Entity
Organization

Contact information

Practice address
1500 W CHESTNUT ST, WASHINGTON, PA 15301-5864
(724) 228-1028
(724) 228-1946
Mailing address
1500 W CHESTNUT ST, WASHINGTON, PA 15301-5864
(724) 228-1028
(724) 228-1946

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10301804
PA
Enumeration date
03/07/2008
Last updated
03/07/2008
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