Organization Active NPI

Juliana Bock O.D. P.C.

  • Optometrist
  • Midlothian, VA
National Provider Identifier
1053492702
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000341 Issued in VA
Legal business name
JULIANA BOCK O.D. P.C.
Practice address
13546 Waterford PL
Midlothian, VA 23112-3928
Phone
(804) 744-9132
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Juliana Bock, O.D.NPI 1679663850
Title
Dr.
Phone
(804) 744-9132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618000341 VA Primary

Addresses

Primary practice location

13546 Waterford PL
Midlothian, VA 23112-3928

Mailing address

1118 Alcorn Ter
Midlothian, VA 23114-4339
Phone (804) 897-8370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100218000128 VA Part B Supplier - Clinic/Group Practice 1355485004 Receives reassigned benefits from 2 practitioners
Practice locations: Midlothian, VA

National Provider Directory

National Provider Directory

Locations

13400 Tredegar Lake Pkwy
Midlothian, VA 23112
Phone (804) 739-3221

13546 Waterford Pl
Midlothian, VA 23112
Phone (804) 744-9132

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1053492702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 ALCORN TER",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144339",
            "telephone_number": "804-897-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13546 WATERFORD PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123928",
            "telephone_number": "804-744-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIANA BOCK O.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "BOCK",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "804-744-9132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.