Bradley Joseph Knox, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

02141 Issued in IA

Practice address

1030 Alabar Ave
Waterloo, IA 50701-3200

Phone

(319) 233-5096

Fax

(319) 287-9022

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Knox Eyecare

  • Optometrist
  • Waterloo, IA
  • NPI 1598055188

  IA, Optometrist

  Medicare reassignment NPD Authorized official
• Acton Optical, LLC

  • Optician
  • Waterloo, IA
  • NPI 1730197799
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1780654046",
    "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": "507013200",
            "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": "507013200",
            "telephone_number": "319-233-5096",
            "fax_number": "319-287-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "BRADLEY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0269928",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHEILD",
            "identifier": "33057",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• 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 Apr 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.