Provider Demographics
NPI:1386381184
Name:KNIGHTON, PATRICK DEWAYNE JR (OD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:DEWAYNE
Last Name:KNIGHTON
Suffix:JR
Gender:M
Credentials:OD
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Mailing Address - Street 1:505 CEDAR AVE STE B1
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-4561
Mailing Address - Country:US
Mailing Address - Phone:425-760-1446
Mailing Address - Fax:425-382-2146
Practice Address - Street 1:8227 44TH AVE W STE E
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-2848
Practice Address - Country:US
Practice Address - Phone:860-849-1281
Practice Address - Fax:425-382-2146
Is Sole Proprietor?:No
Enumeration Date:2022-05-13
Last Update Date:2024-04-15
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Provider Licenses
StateLicense IDTaxonomies
WA61298030152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist