Knox, Bradley Joseph

Knox, Bradley Joseph is an sole proprietor health care provider with primary practice located at 1030 Alabar Ave , Waterloo IA 50701-3200. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Knox, Bradley Joseph can be contacted via phone (319) 233-5096.

Contact Information

Primary practice address
1030 Alabar Ave Waterloo IA 50701-3200
Phone: (319) 233-5096
Fax: (319) 287-9022
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 02141 Iowa

Profile Details

NPI number 1780654046
LBN Legal business name Knox, Bradley Joseph
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated Apr 18th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780654046 NPPES
Iowa MEDICAID 0269928
Iowa Other 33057

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