Individual
JOHN DOYLE KNOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
174 N MAIN ST, DUBLIN, PA 18917-2108
(215) 249-3937
Mailing address
174 N MAIN ST, DUBLIN, PA 18917-2108
(215) 249-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000936
PA
332H00000X
Eyewear Supplier
OEG000936
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00859467
RAILROAD MEDICARE
PA
Enumeration date
07/10/2005
Last updated
11/29/2011
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