NPIMap

Organization Active NPI

Lawrence G Mock, O.D.

  • Optometrist
  • Walnut Creek, CA
National Provider Identifier
1114107802
Registry record updated Sep 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LAWRENCE G MOCK, O.D.
Practice address
1389 N Broadway
Walnut Creek, CA 94596-4636
Phone
(925) 930-7484
Fax
(925) 930-7469
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2009

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

Authorized official

Name
Dr. Lawrance G Mock, OD
Title
Owner
Phone
(925) 930-7484

Specialties & licenses 1

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

Addresses

Primary practice location

1389 N Broadway
Walnut Creek, CA 94596-4636

Mailing address

1389 N Broadway
Walnut Creek, CA 94596-4636
Phone (925) 930-7484

Other names 1

  • Broadway Eyeworks Doing business as

National Provider Directory

National Provider Directory

Locations

81 Broadway Ln
Walnut Creek, CA 94596
Phone (925) 930-7484

1389 N Broadway
Walnut Creek, CA 94596
Phone (925) 930-7484

Practitioners & affiliated clinicians

Practitioners 7

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": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252627200000",
    "number": "1114107802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 N BROADWAY",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964636",
            "telephone_number": "925-930-7484",
            "fax_number": "925-930-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 N BROADWAY",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964636",
            "telephone_number": "925-930-7484",
            "fax_number": "925-930-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE G MOCK, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2009-09-11",
        "status": "A",
        "authorized_official_last_name": "MOCK",
        "authorized_official_first_name": "LAWRANCE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-930-7484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Eyeworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.