Knox Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

License

02141 Issued in IA

Legal business name

KNOX EYECARE

Practice address

1030 Alabar Ave.
Waterloo, IA 50701

Phone

(319) 233-5096

Fax

(319) 287-9022

NPI assigned

Apr 15, 2011

Last updated

Aug 30, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bradley Joseph Knox, O.D.NPI 1780654046

Title

Optometrist/Owner

Phone

(319) 233-5096

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: drknox@knoxeyecare.eyefinity-direct.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley Joseph Knox, O.D.

  • Optometrist
  • Waterloo, IA
  • NPI 1780654046
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1598055188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 ALABAR AVE.",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50701",
            "telephone_number": "319-233-5096",
            "fax_number": "319-287-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 ALABAR AVE.",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50701",
            "telephone_number": "319-233-5096",
            "fax_number": "319-287-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "319-233-5096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "952658",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1598055188",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN INDIVIDUAL",
            "identifier": "IB2167001",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "62742",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN ORGANIZATION",
            "identifier": "IB2167",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "1598055188",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "69203",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598055188",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie Kleve, ARNP
• Taylor Kristin Kline, PA, RDN
• Debra Sue Kloster
• Jeannine Marie Knickerbocker, DPT
• Tamra S Knipp, OTR/L
• Bradley Joseph Knox, O.D.
• Amanda Marie Knudsen, ARNP
• Gary A Knudson, MD
• Megan Renee Knudtson, ATC
• Kobliska Chiropractic, PLC

• Optometrist in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.