Individual provider Active NPI

Lok Kan Roclin Or, OD

  • Optometrist
  • Claremont, CA
National Provider Identifier
1831680719
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34055TLG Issued in CA
Practice address
695 W Foothill Blvd
Claremont, CA 91711-3490
Phone
(909) 625-7861
NPI assigned
May 25, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34055TLG CA Primary

Addresses

Primary practice location

695 W Foothill Blvd
Claremont, CA 91711-3490

Mailing address

695 W Foothill Blvd
Claremont, CA 91711-3490
Phone (909) 625-7861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20211112001647 CA Practitioner - Optometry 0244637932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Fourth Optometric Care of CaliforniaGroup PAC ID 6305210345, 25 clinicians

Practice addresses (Care Compare)

5385 Walnut Ave
Suite 2
Chino, CA 91710-2605
Phone (909) 627-8523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34055TLGCAMDOptometrist
34055CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Juliane Lee,O.D.,a Professional Corporation Optometrist CurrentSince Aug 6, 2021 Accepting new patients
Fourth Optometric Care of California Optometrist Current Accepting new patients
Fourth Optometric Care of California Optometrist CurrentSince May 16, 2024 Accepting new patients
Brad a Baggarly O D Inc Optometrist CurrentSince Mar 31, 2024 Accepting new patients
Fourth Optometric Care of California Optometrist PastSince Jul 3, 2022 Accepting new patients
Claremont Optometry Group Optometrist PastSince Mar 31, 2024 Accepting new patients

Locations

19071 Bear Valley Rd
Ste 3
Apple Valley, CA 92308
Phone (760) 452-3990

5385 Walnut Ave
Ste 2
Chino, CA 91710
Phone (909) 576-6398

695 W Foothill Blvd
Claremont, CA 91711
Phone (909) 625-7861

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1831680719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 W FOOTHILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113490",
            "telephone_number": "909-625-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 W FOOTHILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113490",
            "telephone_number": "909-625-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OR",
        "first_name": "LOK",
        "middle_name": "KAN ROCLIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34055TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

Verify at the official NPI Registry.