Individual provider Active NPI

Jane Mok, O.D.

  • Optometrist
  • Elkridge, MD
National Provider Identifier
1376944017
Registry record updated Sep 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2399 Issued in MD
Practice address
7310 Esquire CT
Suite 3
Elkridge, MD 21075-5440
Phone
(410) 796-4555
Fax
(410) 796-8606
NPI assigned
Sep 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2399 MD Primary

Addresses

Primary practice location

7310 Esquire CT
Suite 3
Elkridge, MD 21075-5440

Mailing address

7310 Esquire CT
Suite 3
Elkridge, MD 21075-5440
Phone (410) 796-4555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20141030000409 MD Practitioner - Optometry 4284855545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Waterloo - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Family Eye Care LLCGroup PAC ID 2264401959, 2 clinicians
Professional Vision Eyecare IncGroup PAC ID 8022322106, 4 clinicians

Practice addresses (Care Compare)

7310 Esquire CT
Suite 3
Elkridge, MD 21075-5441
Phone (410) 796-4555

9613 Harford Rd
Suite I
Baltimore, MD 21234-2150
Phone (410) 665-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Vision Eyecare Inc Optometrist CurrentSince May 28, 2024 Accepting new patients

Locations

9613 Harford Rd
Ste I
Parkville, MD 21234
Phone (410) 665-6200

2147 York Rd
Timonium, MD 21093
Phone (410) 252-3100

Interoperability endpoints

  • Direct secure messaging: jane.mokod.p1@direct.katzeneye.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1376944017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 ESQUIRE CT",
            "address_2": "SUITE 3",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755440",
            "telephone_number": "410-796-4555",
            "fax_number": "410-796-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 ESQUIRE CT",
            "address_2": "SUITE 3",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755440",
            "telephone_number": "410-796-4555",
            "fax_number": "410-796-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOK",
        "first_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

Verify at the official NPI Registry.