John Michael O'Block, O.D.
Individual provider Active NPI Optometrist · Derry, NH
NPI 1427200724 · NPPES record last updated May 7, 2014
Key facts
- NPI
- 1427200724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 0823 (NH)
- Practice address
- 6 Tsienneto Road Suite 101
Derry, NH 03038 - Phone
- (603) 434-4193
- Fax
- (603) 437-6804
- NPI assigned
- Oct 17, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- New England College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Spindel Eye Associates PC
Practice addresses (Care Compare)
6 Tsienneto Rd
Suite 101
Derry, NH 03038-1584
Phone (603) 434-4193
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141006000176 | NH | Practitioner - Optometry | 4082778964 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0823 | NH | MD | Addiction (Substance Use Disorder) Counselor |
| 4720 | MA | MD | Prescribing (Medical) Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spindel Eye Associates PC | Current |
Accepting new patients |
Locations
166 S River Rd
Ste 100
Bedford, NH 03110
6 Tsienneto Rd
Ste 101
Derry, NH 03038
Phone (603) 434-4193
50 Michels Way
Unit 104
Londonderry, NH 03053
6 Old Fremont Road Ext
Ste 1
Raymond, NH 03077
49 Range Rd
Windham, NH 03087
Phone (603) 421-2460
49 Range Rd
Ste 106
Windham, NH 03087
Phone (603) 434-4193
Interoperability endpoints
- joblock@spindeleye.direct.eyemdemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0823 | NH | Yes |
Addresses
Primary practice location
6 Tsienneto Road Suite 101
Derry, NH 03038
Mailing address
6 Tsienneto Rd Ste 101
Derry, NH 03038-1584
Phone (603) 434-4193
Other providers in Derry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.