Individual provider Active NPI

Justin Nock, O.D.

  • Optometrist
  • Pittsburgh, PA
National Provider Identifier
1114366150
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002774 Issued in PA
Practice address
1000 Ross Park Mall Dr
Pittsburgh, PA 15237-3875
Phone
(412) 364-6478
NPI assigned
Jun 24, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002774 PA Primary

Addresses

Primary practice location

1000 Ross Park Mall Dr
Pittsburgh, PA 15237-3875

Mailing address

1000 Ross Park Mall Dr
Pittsburgh, PA 15237-3875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131104001016 PA Practitioner - Optometry 2860627684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Pennsylvania Professional IncGroup PAC ID 7719218593, 80 clinicians

Practice addresses (Care Compare)

156 N Main St
Butler, PA 16001-4927
Phone (724) 287-5739

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Aug 23, 2024 Accepting new patients
Dittman Eyecare, Inc. Optometrist CurrentSince Sep 16, 2013 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist Past Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

156 N Main St
Butler, PA 16001
Phone (724) 287-5739

20808 Route 19
Cranberry Township, PA 16066
Phone (724) 591-8212

20808 Route 19
Ste B
Cranberry Township, PA 16066
Phone (724) 772-7060

93 W Devon Dr
Ste 101
Exton, PA 19341
Phone (610) 363-8960

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1114366150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ROSS PARK MALL DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ROSS PARK MALL DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373875",
            "telephone_number": "412-364-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOCK",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.