Virginia Jane Mock, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7508-TG Issued in TX

Practice address

4701 183A Toll Rd
Cedar Park, TX 78613-7227

Phone

(512) 956-9393

Fax

(512) 982-6625

NPI assigned

Aug 6, 2010

Last updated

Jan 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Southern California College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tanglewood Vision Center PLLCGroup PAC ID 7810259512, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tanglewood Vision Center, PLLC

  dba Joseph J McGowan OD

  • Optometrist
  • Austin, TX
  • NPI 1881615433
  Medicare reassignment Care Compare group
• Texas Red Fox PLLC

  dba Eye Love Cedar Park

  • Optometrist
  • Cedar Park, TX
  • NPI 1710363809
  Authorized official Same address or phone
• Texas Eye Associates

  • Optometrist
  • Lockhart, TX
  • NPI 1417283086
  NPD (past)

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1780998302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 183A TOLL RD",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137227",
            "telephone_number": "512-956-9393",
            "fax_number": "512-982-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 183A TOLL RD",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137227",
            "telephone_number": "512-956-9393",
            "fax_number": "512-982-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCK",
        "first_name": "VIRGINIA",
        "middle_name": "JANE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-06",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7508-TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "464214",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyla Mione, LPC
• Ketakumari Mistry, PHARM. D. R.PH.
• Shalini Mittal, DDS
• Joda Kay Miura, LCSW
• Lori D Mock-Blair, PA-C
• Alyssa Lee Moffitt, OTR
• Javier Molina, RPH
• Iqra Momin
• Sabiha Akhtar Mondal, M.D
• Brianne Montemayor

• Optometrist in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.