Individual
DR. BRADLEY JOSEPH KNOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1030 ALABAR AVE, WATERLOO, IA 50701-3200
(319) 233-5096
(319) 287-9022
Mailing address
1030 ALABAR AVE, WATERLOO, IA 50701-3200
(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
05
—
0269928
—
IA
01
—
33057
BLUE CROSS/BLUE SHEILD
IA
Enumeration date
01/26/2006
Last updated
04/18/2011
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