William Bock OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC701 Issued in FL

Legal business name

WILLIAM BOCK OD PA

Practice address

6745 N Church Ave
Mulberry, FL 33860-2080

Phone

(863) 648-0222

Fax

(863) 648-0200

NPI assigned

Aug 25, 2010

Last updated

Aug 25, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William C Bock, OD PA

Title

President

Phone

(863) 648-0222

Specialties & licenses 1

Addresses

Other names 1

• BILL BOCK OD PA Other name

Locations

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1346556529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6216",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338076216",
            "telephone_number": "863-648-0222",
            "fax_number": "863-648-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6745 N CHURCH AVE",
            "city": "MULBERRY",
            "state": "FL",
            "postal_code": "338602080",
            "telephone_number": "863-648-0222",
            "fax_number": "863-648-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BOCK OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "BOCK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-648-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD PA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BILL BOCK OD PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Optometrist in Mulberry, FL
• Providers in Mulberry, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.