Lawrence Glen Mock in Walnut Creek - Optometrist
Lawrence Glen Mock - NPI 1164419149
Lawrence Glen Mock is a Optometrist in Walnut Creek, California. Lawrence Glen Mock practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Lawrence Glen Mock is 1164419149. The last update date is 2010-04-12.
Lawrence Glen Mock's current location address is 1389 N Broadway, Walnut Creek, California. You can contact this provider via phone number 9259307484 and fax number 9259307469. The mailing address for Lawrence Glen Mock is 1389 N Broadway, Walnut Creek, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lawrence Glen Mock |
|---|---|
| Address | 1389 N Broadway, Walnut Creek, California |
| Phone Number | 9259307484 |
| Fax Number | 9259307469 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1164419149 |
|---|---|
| Provider Enumeration Date | 2005-10-04 |
| Last Updated Date | 2010-04-12 |
Provider Mailing Address Detail
| Address | 1389 N Broadway |
|---|---|
| City | Walnut Creek |
| State | California (CA) |
| Post Code | 945964636 |
| Phone Number | 9259307484 |
| Fax Number | 9259307469 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OPT5571T |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique identifier code issued to Lawrence Glen Mock by the Centers for Medicare & Medicaid Services?
The Lawrence Glen Mock has been assigned the NPI (National Provider Identifier) 1164419149. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lawrence Glen Mock's facilities are geographically located?
The facilities of Lawrence Glen Mock are physically situated at the following location: 1389 N Broadway, Walnut Creek, CA, 945964636.
What is the Lawrence Glen Mock's specialty and taxonomy code?
The Lawrence Glen Mock's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Lawrence Glen Mock receive its 1164419149 assignment from the Centers for Medicare & Medicaid Services?
The Lawrence Glen Mock was assigned its 1164419149 by the Centers for Medicare & Medicaid Services on 2005-10-04.
As of what date were the Lawrence Glen Mock's details last updated?
The information pertaining to the Lawrence Glen Mock, including its address, specialty, and other details, was most recently updated on 2010-04-12.
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