Individual provider Active NPI

Dillon Bocken

  • Optometrist
  • Alice, TX
National Provider Identifier
1295187599
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8994T Issued in TX
Practice address
559 N Johnson St
Alice, TX 78332-4425
Phone
(361) 664-2020
NPI assigned
Jul 11, 2016
Last updated
Jul 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8994T TX Primary

Addresses

Primary practice location

559 N Johnson St
Alice, TX 78332-4425

Mailing address

559 N Johnson St
Alice, TX 78332-4425
Phone (361) 664-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20161116001542 TX Practitioner - Optometry 9436438389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leander Eye Care PCGroup PAC ID 0042349391, 5 clinicians

Practice addresses (Care Compare)

107 Sheila Dr
Leander, TX 78641-1419
Phone (512) 259-8484

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8994TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Leander Eye Care PC Optometrist CurrentSince Sep 17, 2016 Accepting new patients
Vision Center of Texas, PA Past Accepting new patients

Locations

107 Sheila Dr
Leander, TX 78641
Phone (512) 259-8484

1395 S Highway 183
Ste 130
Leander, TX 78641
Phone (512) 259-8484

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1295187599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 N JOHNSON ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324425",
            "telephone_number": "361-664-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 N JOHNSON ST",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324425",
            "telephone_number": "361-664-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCKEN",
        "first_name": "DILLON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8994T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

Verify at the official NPI Registry.