Individual
RONALD KNOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1000 WASHINGTON ST, WATERTOWN, NY 13601-4337
(315) 786-3937
Mailing address
433 LACHENAUER DR, WATERTOWN, NY 13601-4218
(315) 788-2223
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004144
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026770
BLUE CROSS BLUE SHIELD
NY
01
—
0505497150001
HEALTHNET TRICARE
NY
Enumeration date
02/02/2007
Last updated
12/02/2008
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