ANDREW BOCK (NPI# 1497886816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497886816 |
Entity Type | Individual |
Full Name | ANDREW BOCK |
Credential | O.D. |
Practice Address |
5100 E Montclair Plaza Ln Montclair CA 91763-1528 |
Mailing Address |
23491 Ribalta Mission Viejo CA 92692-1832 |
Practice Telephone | 9096216388 |
Enumeration Date | 2007-03-08 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152WS0006X |
Optometrist Specialization: Sports Vision |
7923TPA | CA | Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548492481 | Andrew James Bock | Dentist | 1491 Denver Ave, Suite 102, Loveland, CO 80538-5227 | 2009-08-11 |
1851334783 | Andrew Michael Bock | Counselor | 6001 Research Park Blvd, Madison, WI 53719-1176 | 2006-06-14 |
Street Address |
5100 E MONTCLAIR PLAZA LN |
City | MONTCLAIR |
State | CA |
Zip Code | 91763-1528 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376042119 | Ashmi Patel O.d, Apoc | Eye Bank | 5100 E Montclair Plaza Ln, Montclair, CA 91763-1528 | 2018-02-07 |
1447573738 | Ashmi Patel | Optometrist | 5100 E Montclair Plaza Ln, Montclair, CA 91763-1528 | 2010-03-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194335760 | Cho Jeon Yun Dental Partnership | Dentist | 9655 Monte Vista Ave #406, Montclair, CA 91763 | 2020-08-07 |
1215498811 | Above Urgent Care Center | Emergency Medicine | 8891 N. Central Ave Ste A, Montclair, CA 91763 | 2019-03-27 |
1467936906 | Bronislava Kroulik | Behavior Technician | 4950 San Bernardino St Ste 101, Montclair, CA 91763 | 2018-09-20 |
1063936110 | Monique Karina Enriquez | Licensed Vocational Nurse | 5580 Moreno St #82, Montclair, CA 91763 | 2017-07-31 |
1972961159 | Lacy Pinsky | Specialist/Technologist | 5035 Flora St., Montclair, CA 91763 | 2016-02-03 |
1912333790 | Cinta Hospice Care Inc | Hospice Care, Community Based | 5050 Palo Verde Street, Suite 101, Montclair, CA 91763 | 2013-09-24 |
1720334626 | Priority One Hospice, Inc. | Hospice Care, Community Based | 4959 Palo Verde St Ste 107c, Montclair, CA 91763 | 2012-07-28 |
1689982498 | Paulina Trujillo Perez | Counselor | 9916 Central Ave., Montclair, CA 91763 | 2010-09-15 |
1982846499 | Esther Phillips Agepogu | Physician Assistant | 9301 Central Ave., Montclair, CA 91763 | 2009-03-30 |
1568633139 | Mahin Nosrati-jahromi | Dentist | 9509 Central Ave #d, Montclair, CA 91763 | 2008-03-21 |
Find all providers in zip 91763 |
Taxonomy Code | 152WS0006X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Sports Vision |
An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the prevention of sports-related injuries; vision enhancement - which may include vision therapy and techniques to improve visual skills specific to the athlete’s sport. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083762512 | Burton E Worrell | Optometrist | 545 Meridian Ave Ste G, San Jose, CA 95126-3451 | 2007-01-08 |
1396811972 | Dennis T Hamamura | Optometrist | 1130 Beaumont Ave, Beaumont, CA 92223-1810 | 2006-11-27 |
1841812716 | Dr. Gary D. Polan, Od | Optometrist | 970 Monument St Ste 102, Pacific Palisades, CA 90272-3860 | 2020-05-13 |
1558768374 | Nguyen Quach Od A Professional Corporation | Optometrist | 1880 Prairie City Rd, Ste 130, Folsom, CA 95630-9593 | 2014-11-21 |
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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.