Kaitlynn Taylor Bock, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6268 Issued in OH

Practice address

4762 Ridge Rd
Brooklyn, OH 44144-3327

Phone

(216) 351-5300

Fax

(216) 351-5300

NPI assigned

Jun 21, 2014

Sex

Female

Sole proprietor

No

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 OH

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

Ohio State University - College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Erdey Searcy Eye Group IncGroup PAC ID 4284537762, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Erdey Searcy Eye Group, Inc

  • Ophthalmology Physician
  • Columbus, OH
  • NPI 1194784611
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1403308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451433600000",
    "number": "1235544909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 EXECUTIVE CENTER DR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018087",
            "telephone_number": "740-233-1394",
            "fax_number": "740-779-3856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4762 RIDGE RD",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441443327",
            "telephone_number": "216-351-5300",
            "fax_number": "216-351-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCK",
        "first_name": "KAITLYNN",
        "middle_name": "TAYLOR",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-21",
        "last_updated": "2015-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Michael Beegan, D.D.S.
• Laura Bindernagel, M.A.
• Richard Francis Bis, D.D.S.
• Madison Blackman
• Kathleen D Blanc, D.D.S.
• Maria Simona Breahna, RN
• Jonathan Brennan, BCBA
• Shannon Marie Brinkman, LPN
• Brooklyn City School District
• Brooklyn Pointe, LLC

• Optometrist in Brooklyn, OH
• Providers in Brooklyn, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.