Provider Demographics
NPI:1669080339
Name:KNOX VISION, LLC
Entity type:Organization
Organization Name:KNOX VISION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KOLBY
Authorized Official - Middle Name:B
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:740-683-8749
Mailing Address - Street 1:309 MEL KAY WAY
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-1262
Mailing Address - Country:US
Mailing Address - Phone:740-683-8749
Mailing Address - Fax:
Practice Address - Street 1:2008 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-2240
Practice Address - Country:US
Practice Address - Phone:740-683-8749
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-20
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty