MR. JAMES LEE BROCK (NPI# 1316034754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316034754 |
| Entity Type | Individual |
| Full Name | MR. JAMES LEE BROCK |
| Credential | OPTICIAN |
| Practice Address |
108 W George St Arcanum OH 45304-1109 |
| Mailing Address |
3863 Drew Rd Arcanum OH 45304-9730 |
| Practice Telephone | 9376929974 |
| Mailing Telephone | 9375479891 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
S. 7326 | OH | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2642117 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912036823 | James Murray Brock Jr. | Dermatology | 136 Marion Ave, Mccomb, MS 39648-3620 | 2007-03-05 |
| 1750485850 | James Vaughn Brock Jr. | Psychologist | Dougherty Counseling Center, 1919 State St., Ste. #2, New Albany, IN 47150 | 2006-09-11 |
| 1790711711 | James Brock | Obstetrics & Gynecology | 3686 Grandview Pkwy Ste 320, Birmingham, AL 35243-3404 | 2006-06-23 |
| 1871133660 | James Brock | Behavior Technician | 1801 Excise Ave Ste 116, Ontario, CA 91761-8557 | 2020-01-09 |
| 1164071734 | James M Brock | Peer Specialist | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2019-09-06 |
| 1427613520 | James Brock | Case Manager/Care Coordinator | 2347 Vine St, Cincinnati, OH 45219-1745 | 2019-05-03 |
| 1427520493 | James Albert Brock IIi | Anesthesiology | 3104 Blue Lake Dr Ste 110, Vestavia, AL 35243-2372 | 2019-01-01 |
| 1801306022 | James Richard Brock | Peer Specialist | 405 E Excelsior Ave, Vinita, OK 74301-4226 | 2017-10-02 |
| 1871859611 | James Philip Brock | Pediatrics | 2801 Atlantic Ave, Peds Pulmonary, Long Beach, CA 90806 | 2012-04-05 |
| 1073742607 | James Benjamin Brock | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2009-07-02 |
| Street Address |
108 W GEORGE ST |
| City | ARCANUM |
| State | OH |
| Zip Code | 45304-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144753534 | Kayla Johnston | Physical Therapist | 6941 Delisle Fourman Rd, Arcanum, OH 45304 | 2017-04-04 |
| 1528324647 | Bret A. French | Pharmacist | 605 N. Wayne Street, Kaup Pharmacy Inc, Arcanum, OH 45304 | 2012-04-03 |
| 1659510691 | Arcanum-butler Local School District | Local Education Agency (LEA) | 2011 Trojan Ave, Arcanum, OH 45304 | 2009-02-16 |
| 1518990563 | Arcanum Community Rescue Squad Inc. | Ambulance | 202 S Main St, Arcanum, OH 45304 | 2006-07-09 |
| 1306014923 | Cathy L Penquite | Licensed Practical Nurse | 114 W George St, Apt. C, Arcanum, OH 45304-1109 | 2008-02-16 |
| 1205998697 | Gregory Ermenc | Dentist | 1 S High St, Arcanum, OH 45304-1118 | 2006-12-14 |
| 1992989412 | Modern Dental Professionals-lee,inc | Dentist | 1 S High St, Arcanum, OH 45304-1118 | 2007-12-19 |
| 1255760559 | David M Ferguson | Home Health Aide | 308 W First St, Arcanum, OH 45304-1167 | 2013-11-06 |
| 1992910863 | Independent Provider | Respite Care | 308 W 1st St, Arcanum, OH 45304-1167 | 2007-05-13 |
| 1134215619 | Peter Herr | Psychologist | 310 S High St, Arcanum, OH 45304-1212 | 2006-10-04 |
| Find all providers in zip 45304 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174133466 | Robert James Hessler | Technician/Technologist | 21 S Ridge Dr, Amelia, OH 45102-2358 | 2020-08-03 |
| 1265068605 | Cathy Sue Bigley | Technician/Technologist | 41 Pineview Dr, Oregon, OH 43616-2636 | 2020-03-17 |
| 1003377045 | Erikka Hermiller | Technician/Technologist | 517 Monroe Ave, Findlay, OH 45840-3739 | 2019-03-30 |
| 1215496989 | National Vision Inc | Technician/Technologist | 2227 State Route 256 Unit A, Reynoldsburg, OH 43068-9326 | 2019-03-13 |
| 1033675988 | Racquel Montijo Montijo | Technician/Technologist | 7410 Jameson Rd, Parma, OH 44129-2816 | 2019-02-15 |
| 1053885244 | National Vision Inc | Technician/Technologist | 4172 Buckeye Pkwy, Grove City, OH 43123-8175 | 2019-01-22 |
| 1093233306 | Robin P Wiley | Technician/Technologist | 3643 Countryside Ln, Avon, OH 44011-2623 | 2017-09-07 |
| 1851827596 | Linda Fitzgerald | Technician/Technologist | 777 Presidential Dr, Youngstown, OH 44512-5714 | 2017-05-01 |
| 1477091296 | Rachelle Nieves | Technician/Technologist | 30426 Euclid Ave, Wickliffe, OH 44092-1578 | 2017-02-01 |
| 1992255038 | John E Stuckey | Technician/Technologist | 104 S Miami St, West Milton, OH 45383-1551 | 2016-10-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.