Lawrence Glen Mock, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT5571T Issued in CA

Practice address

1389 N Broadway
Walnut Creek, CA 94596-4636

Phone

(925) 930-7484

Fax

(925) 930-7469

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

University of California - School of Optometry, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practitioners 2

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

• Jacqueline Nguyen

  • Optometrist
  • Suisun City, CA
  • NPI 1033745468
  Medicare reassignment
• Sara Yee, O.D.

  • Optometrist
  • Walnut Creek, CA
  • NPI 1982804878
  Medicare reassignment

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1164419149",
    "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": {
        "last_name": "MOCK",
        "first_name": "LAWRENCE",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT5571T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MLRC, Inc.
• Saina Moallempour
• Mobile Healthcare Integrations LLC
• Andrew Mobley, DPT
• Katie Mock, PHARMD
• Mahsa Modarres Sabzevari, MSPT
• William Keith Modenbach, DC
• Harshil Modi
• Jamal Raji Mogannam, MD
• Alexandra L Mogilevets

• Optometrist in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.