Michael Charles Lock, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

02379 Issued in IA

Practice address

101 Jordan Creek Pkwy
Suite 12190
West Des Moines, IA 50266-8181

Phone

(312) 545-3705

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2004

Medicare assignment

May accept Medicare assignment

Group practices

Lock Family Eye Care LLCGroup PAC ID 6800994997, 2 clinicians

Lumen Eyecare LLCGroup PAC ID 9032647243, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lock Family Eye Care LLC

  • Optometrist
  • West Des Moines, IA
  • NPI 1578610796
  Medicare reassignment Care Compare group NPD Authorized official
• Lumen Eyecare LLC

  • Optometrist
  • Urbandale, IA
  • NPI 1881429991
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408752000000",
    "number": "1649350331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 37TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503112707",
            "telephone_number": "515-339-1836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JORDAN CREEK PKWY",
            "address_2": "SUITE 12190",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668181",
            "telephone_number": "312-545-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCK",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2014-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Dwight Lloyd III, D.C.
• LMMC Des Moines LLLP
• Oulaivane Lo, TLMHC
• Lock Family Eye Care LLC
• Jenessa Ann Lock, OD
• Breia Loebig
• Stacey Rae Loftus, RD, LD
• Heather Nichole Logan, WHNP-BC
• Loneylohrdannen LLC
• Loneylohrdannen LLC

• Optometrist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.