Individual provider Active NPI

Juliana Bock, O.D.

  • Optometrist
  • Midlothian, VA
National Provider Identifier
1679663850
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000341 Issued in VA
Practice address
13546 Waterford PL
Midlothian, VA 23112-3928
Phone
(804) 744-9132
NPI assigned
Oct 16, 2006
Last updated
Mar 16, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000341 VA Primary
Corneal and Contact Management Optometrist 152WC0802X 0618000341 VA

Addresses

Primary practice location

13546 Waterford PL
Midlothian, VA 23112-3928

Mailing address

1118 Alcorn Ter
Midlothian, VA 23114-4339
Phone (804) 897-8370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100216000878 VA Practitioner - Optometry 1850430422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Juliana Bock O.D. P.C.Group PAC ID 1355485004, 2 clinicians

Practice addresses (Care Compare)

13400 Tredegar Lake Pkwy
Midlothian, VA 23112-4070
Phone (804) 739-3221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618000341VAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Juliana Bock O.D. P.C. Optometrist CurrentSince Oct 29, 2009 Accepting new patients

Locations

13400 Tredegar Lake Pkwy
Midlothian, VA 23112
Phone (804) 739-3221

13546 Waterford Pl
Midlothian, VA 23112
Phone (804) 744-9132

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1679663850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 ALCORN TER",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144339",
            "telephone_number": "804-897-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13546 WATERFORD PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123928",
            "telephone_number": "804-744-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCK",
        "first_name": "JULIANA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000341",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "VA",
            "license": "0618000341",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.