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Organization

KNOX EYECARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRADLEY JOSEPH KNOX O.D. (OPTOMETRIST/OWNER)
(319) 233-5096
Entity
Organization

Contact information

Practice address
1030 ALABAR AVE., WATERLOO, IA 50701
(319) 233-5096
(319) 287-9022
Mailing address
1030 ALABAR AVE., WATERLOO, IA 50701
(319) 233-5096
(319) 287-9022

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
02141
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1598055188
UNITED HEALTHCARE
IA
01
1598055188
WELLMARK BC/BS
05
1598055188
IA
01
62742
AVESIS
IA
01
69203
DAVIS VISION
IA
01
952658
EYEMED
IA
01
IB2167
MEDICARE PTAN ORGANIZATION
IA
01
IB2167001
MEDICARE PTAN INDIVIDUAL
IA
Enumeration date
04/15/2011
Last updated
08/30/2011
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