Individual provider Active NPI

Noelle Bock, OD

  • Optometrist
  • Encinitas, CA
National Provider Identifier
1992326995
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34804 Issued in CA
Practice address
700 Garden View CT Ste 100
Encinitas, CA 92024-2478
Phone
(760) 452-4270
NPI assigned
Apr 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 718756 WI
Optometrist 152W00000X 34804 CA Primary

Addresses

Primary practice location

700 Garden View CT Ste 100
Encinitas, CA 92024-2478

Mailing address

14726 Ramona Ave Ste 203
Chino, CA 91710-5730
Phone (626) 305-9100

Other practice location 1

3621 Vista Way
Oceanside, CA 92056-4522
Phone (760) 607-3460

Other identifiers 1

IdentifierTypeStateIssuer
1992326995MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nbock372528@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200709003331 WI Practitioner - Optometry 7911320841 Reassigns benefits to 1 organization
I20250915000803 CA Practitioner - Optometry 7911320841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Azul Vision IncGroup PAC ID 2264851740, 49 clinicians

Practice addresses (Care Compare)

700 Garden View CT
Suite 100
Encinitas, CA 92024-2478
Phone (760) 452-4270

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
718756WIMDOptometrist
3624WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Health Systems, Inc. CurrentSince Jun 25, 2020 Accepting new patients
Dean Health Systems, Inc CurrentSince Jun 25, 2020 Accepting new patients
Azul Vision Inc. Optometrist CurrentSince Aug 4, 2025 Accepting new patients
California Eye Specialists Medical Group, Inc Past Accepting new patients
Eyecare Specialists Medical Group, Inc. Optometrist Past Accepting new patients

Locations

831 Highland Springs Ave
Ste 300
Beaumont, CA 92223
Phone (951) 769-0079

14726 Ramona Ave
Ste 203
Chino, CA 91710
Phone (626) 305-9100

700 Garden View Ct
Ste 100
Encinitas, CA 92024
Phone (760) 452-4270

18250 Roscoe Blvd
Ste 120
Northridge, CA 91325
Phone (818) 583-9924

3621 Vista Way
Oceanside, CA 92056
Phone (760) 607-3460

1821 S Stoughton Rd
Madison, WI 53716
Phone (608) 260-6000

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

1025 Regent St
Madison, WI 53715
Phone (608) 282-2000

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: noelle.bock.p1@direct.atlantiseyecare.nextgenshare.com

Organizations & group practices 5

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": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1992326995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14726 RAMONA AVE STE 203",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105730",
            "telephone_number": "626-305-9100",
            "fax_number": "626-305-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GARDEN VIEW CT STE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242478",
            "telephone_number": "760-452-4270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3621 Vista Way",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564522",
            "country_code": "US",
            "telephone_number": "760-607-3460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOCK",
        "first_name": "NOELLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "718756",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992326995",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbock372528@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "nbock372528@direct-ehr-ssmhc.com",
            "address_1": "1025 Regent St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1025 Regent St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.