Individual provider Active NPI

Ilan Moshe Dock, OD

  • Optometrist
  • Sanford, NC
National Provider Identifier
1215508098
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2676 Issued in NC
Practice address
1225 Carthage St
Sanford, NC 27330-8984
Phone
(919) 774-3556
Fax
(919) 774-7356
NPI assigned
Jul 2, 2021
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2676 NC Primary
Optometrist 152W00000X 2278 SC

Addresses

Primary practice location

1225 Carthage St
Sanford, NC 27330-8984

Mailing address

15933 Clayton Rd Ste 210
Ballwin, MO 63011-2172

Other practice location 1

1268 Ebenezer Rd
Rock Hill, SC 29732-2341
Phone (703) 847-8899

Other practice location 2

860 Summit Crossing Pl Ste 110
Gastonia, NC 28054-2217
Phone (704) 865-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210722003380 SC Practitioner - Optometry 6608279021 Reassigns benefits to 1 organization
I20220426001278 NC Practitioner - Optometry 6608279021 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecarecenter OD PAGroup PAC ID 7315834462, 71 clinicians
Clark Optometric Center PAGroup PAC ID 6709911092, 45 clinicians

Practice addresses (Care Compare)

1225 Carthage St
Sanford, NC 27330-8984
Phone (919) 774-3556

2630 Peters Creek Pkwy
Winston Salem, NC 27127-5655
Phone (336) 785-3486

516 Optical LN
Cary, NC 27513-9682
Phone (919) 468-2636

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2676NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of South Carolina, LLC Optometrist CurrentSince Jul 20, 2021 Accepting new patients
Myeyedr Optometry of South Carolina, LLC Optometrist CurrentSince Jul 20, 2021 Accepting new patients
Myeyedr Optometry of South Carolina, LLC Optometrist Current Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Sep 23, 2025 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Apr 17, 2022 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina PLLC Optometrist CurrentSince Apr 17, 2022 Accepting new patients
Clark Optometric Center PA Optometrist CurrentSince Aug 30, 2023 Accepting new patients
Canting Optometry, PLLC Optometrist CurrentSince Aug 30, 2023 Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Sep 23, 2025 Accepting new patients
C.V. Sikes,Jr. & R.B. Gotschalk PTR Optometrist Past Accepting new patients

Locations

229 Crossroads Blvd
Cary, NC 27518
Phone (919) 233-8500

3460 Ten Ten Rd
Ste 112
Cary, NC 27518
Phone (919) 367-5555

516 Optical Ln
Cary, NC 27513
Phone (919) 468-2636

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

584 Church St N
Concord, NC 28025
Phone (704) 782-0677

2216 E NC Highway 54
Durham, NC 27713
Phone (919) 544-2020

860 Summit Crossing Pl
Ste 110
Gastonia, NC 28054
Phone (704) 865-3937

119 E Hargett St
Raleigh, NC 27601
Phone (919) 856-8555

4170 Fayetteville Rd
Raleigh, NC 27603
Phone (919) 772-2020

4325 Glenwood Ave
Raleigh, NC 27612
Phone (919) 782-4100

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

1225 Carthage St
Sanford, NC 27330
Phone (919) 774-3556

1829 Doctors Dr
Sanford, NC 27330
Phone (919) 776-2032

2630 Peters Creek Pkwy
Winston Salem, NC 27127
Phone (336) 785-3486

1826 Highway 160 W
Ste 101
Fort Mill, SC 29708
Phone (803) 650-3080

1617 Wade Hampton Blvd
Greenville, SC 29609
Phone (864) 322-9050

812 W Wade Hampton Blvd
Greer, SC 29650
Phone (864) 877-1825

306 E Main St
Pickens, SC 29671
Phone (864) 878-6060

1268 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 327-2001

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1215508098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD STE 210",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CARTHAGE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273308984",
            "telephone_number": "919-774-3556",
            "fax_number": "919-774-7356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1268 Ebenezer Rd",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297322341",
            "country_code": "US",
            "telephone_number": "703-847-8899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "860 Summit Crossing Pl Ste 110",
            "address_purpose": "LOCATION",
            "city": "Gastonia",
            "state": "NC",
            "postal_code": "280542217",
            "country_code": "US",
            "telephone_number": "704-865-3937",
            "fax_number": "704-865-8851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCK",
        "first_name": "ILAN",
        "middle_name": "MOSHE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-02",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2676",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.