KNOX EYECARE (NPI# 1598055188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598055188 |
| Entity Type | Organization |
| Organization Name | KNOX EYECARE |
| Practice Address |
1030 Alabar Ave. Waterloo IA 50701 |
| Practice Telephone | 3192335096 |
| Practice Fax Number | 3192879022 |
| Mailing Telephone | 3192335096 |
| Mailing Fax Number | 3192879022 |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-08-30 |
| Authorized Official Name | DR. BRADLEY JOSEPH KNOX (OPTOMETRIST/OWNER) |
| Authorized Official Telephone | 3192335096 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 02141 | IA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1598055188 | 05 | |
| IA | DAVIS VISION | 69203 | 01 |
| IA | MEDICARE PTAN INDIVIDUAL | IB2167001 | 01 |
| IA | MEDICARE PTAN ORGANIZATION | IB2167 | 01 |
| IA | AVESIS | 62742 | 01 |
| WELLMARK BC/BS | 1598055188 | 01 | |
| IA | UNITED HEALTHCARE | 1598055188 | 01 |
| IA | EYEMED | 952658 | 01 |
| Street Address |
1030 ALABAR AVE. |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| 1801052915 | Benjamin Robert Peterson | Dentist | 424 South St., Waterloo, IA 50701 | 2008-07-29 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1841538733 | J.m. Tempel O.d. P.C. | Optometrist | 1952 Plymouth Ave, Waterloo, IA 50702-3524 | 2013-01-28 |
| 1417113812 | Emily Halbur | Optometrist | 2018 Sears St, Waterloo, IA 50702-4401 | 2008-08-05 |
| 1649464553 | Clarkson Optometry Illinois PC | Optometrist | 204 Bradford Lane, Waterloo, IL 62298 | 2007-09-04 |
| 1265479281 | Scott Wayne Lewis | Optometrist | 204 Bradford Ln, Waterloo, IL 62298-3267 | 2006-05-31 |
| 1740234376 | Suzanne Renee Smith | Optometrist | 909 E San Marnan Dr, Waterloo, IA 50702-5611 | 2006-05-19 |
| 1619937133 | Iowa Eyecare Associates PC | Optometrist | 999 Home Plz, Suite 100, Waterloo, IA 50701-4822 | 2006-03-27 |
| 1114990116 | Robert L Toal Jr. | Optometrist | 742 North Market, Suite A, Waterloo, IL 62298 | 2006-02-09 |
| 1780654046 | Bradley Joseph Knox | Optometrist | 1030 Alabar Ave, Waterloo, IA 50701-3200 | 2006-01-26 |
| 1508848151 | Amy L Hartmann | Optometrist | 2515 Cyclone Dr, Waterloo, IA 50701-9746 | 2005-11-18 |
| Find all providers in WATERLOO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.