Doctor Name: | JOHN DOYLE KNOUSE |
NPI Number: | 1851399281 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | OEG000936 |
Business Practice Address: | 174 N Main St Dublin, PA - 189172108 |
Business Phone Number: | 2152493937 |
Business Fax Number: | |
Mailing Address: | 174 N Main St, DUBLIN |
State: | PA |
Postal Code: | 189172108 |
Phone Number: | 2152493937 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2005 |
NPI Last Update Date: | 11/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | OEG000936 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |