| NPI | 1598055188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY JOSEPH KNOX O PT Ometrist/Owner 319-233-5096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IA 02141) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2011-08-30 |