DR. BRADLEY JOSEPH KNOX (O.D.) – Optometrist, NPI 1780654046

DR. BRADLEY JOSEPH KNOX (O.D.) is a healthcare provider. based in Waterloo, Iowa. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 02141 (IA). The NPI Number for DR. BRADLEY JOSEPH KNOX (O.D.) is 1780654046

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRADLEY JOSEPH KNOX (O.D.)
NPI
1780654046
Phone
(319) 233-5096
Address
1030 ALABAR AVE
Enumeration Date
26 January 2006
Last Update Date
18 April 2011

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
3192335096
Graduation Year
1999 (27 years ago)
PAC ID
4183514508
Professional Enrollment ID
I20040318001217
Address ID
IA507013200WA1030XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

503 OPTOMETRY in IA

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Provider Addresses for DR. BRADLEY JOSEPH KNOX (O.D.)

  • 1030, Alabar Avenue, Waterloo, Black Hawk County, Iowa, 50701, United States

    WATERLOO, IA 507013200

    Phone: (319) 233-5096

    Fax: (319) 287-9022

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040318001217IOptometryIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6767$0
99212Established patient office or other outpatient visit, 10-19 minutes6552$0
92134Imaging of retina2923$0
99214Established patient office or other outpatient visit, 30-39 minutes2323$0
92083Exam of visual field with extended testing2121$0
View full utilization report →

Insurance plans in this area (ZIP 50701)

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Reviews

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Frequently asked questions

How is DR. BRADLEY JOSEPH KNOX (O.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. BRADLEY JOSEPH KNOX (O.D.) with NPI 1780654046.
Can I rely on DR. BRADLEY JOSEPH KNOX (O.D.) being an active provider?
As of the registry snapshot, DR. BRADLEY JOSEPH KNOX (O.D.) is marked active.
What taxonomy line describes DR. BRADLEY JOSEPH KNOX (O.D.)?
For research purposes, treat DR. BRADLEY JOSEPH KNOX (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. BRADLEY JOSEPH KNOX (O.D.) on a map?
Expect Waterloo, Iowa as a primary anchor for DR. BRADLEY JOSEPH KNOX (O.D.) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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