Active NPI
William Edward Mock, M.D.
- Ophthalmology Physician
- Opelika, AL
National Provider Identifier
1508879925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 00005394
- Practice address
- 2871 Corporate Park Dr
Opelika, AL 36801-7250 - Phone
- (334) 887-2020
- Fax
- (334) 887-2030
- NPI assigned
- Aug 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 00005394 | AL | Primary |
Addresses
Primary practice location
2871 Corporate Park Dr
Opelika, AL 36801-7250
Mailing address
2871 Corporate Park Dr
Opelika, AL 36801-7250
Phone (334) 887-2020
Other practice location 1
122 N 20th St
Bldg 26
Opelika, AL 36801
Phone (334) 749-1486
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000004428 | Medicaid | AL | |
| 051004428 | Other | AL | BLUE CROSS OF ALABAMA |
| 630691977 | Other | CIGNA HEALTHCARE | |
| 0800338 | Other | UNITED HEALTHCARE | |
| 000075538 | Medicaid | AL | |
| 051075538 | Other | AL | BLUE CROSS OF ALABAMA |
| 18003913Z | Other | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00005394 | AL | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519689600000",
"number": "1508879925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2871 CORPORATE PARK DR",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368017250",
"telephone_number": "334-887-2020",
"fax_number": "334-887-2030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2871 CORPORATE PARK DR",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368017250",
"telephone_number": "334-887-2020",
"fax_number": "334-887-2030"
}
],
"practiceLocations": [
{
"address_1": "122 N 20th St",
"address_2": "Bldg 26",
"address_purpose": "LOCATION",
"city": "Opelika",
"state": "AL",
"postal_code": "36801",
"country_code": "US",
"telephone_number": "334-749-1486",
"fax_number": "334-749-1748",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOCK",
"first_name": "WILLIAM",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2018-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "AL",
"license": "00005394",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000004428",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ALABAMA",
"identifier": "051004428",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "630691977",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0800338",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000075538",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF ALABAMA",
"identifier": "051075538",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "18003913Z",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Opelika, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.