| Dr Timothy Glenn Mock, OD | |
|
1101 Madison St Ste 600, Seattle, WA 98104-1340 | |
| (206) 215-2020 | |
| (206) 215-2022 |
| Full Name | Dr Timothy Glenn Mock |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1101 Madison St Ste 600, Seattle, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063961654 | NPI | - | NPPES |
| 2237369 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 100382 (Idaho) | Secondary |
| 152W00000X | Optometrist | 60677430 (Washington) | Secondary |
| 152W00000X | Optometrist | OD60677430 (Washington) | Primary |
| Provider Name | Eye Associates Northwest Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811952815 PECOS PAC ID: 2961397385 Enrollment ID: O20040216001011 |
| Provider Name | Evergreen Eye Center Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700959293 PECOS PAC ID: 3173410057 Enrollment ID: O20040304001193 |
| Provider Name | Sharpevision Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164788279 PECOS PAC ID: 5496917791 Enrollment ID: O20200226000148 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Timothy Glenn Mock, OD 1101 Madison St Ste 600, Seattle, WA 98104-1340 Ph: (206) 215-2020 | Dr Timothy Glenn Mock, OD 1101 Madison St Ste 600, Seattle, WA 98104-1340 Ph: (206) 215-2020 |
Kelly K Malueg, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1519 Alaskan Way S, Base Seattle Medical, Seattle, WA 98134 Phone: 206-217-6432 Fax: 206-217-6636 | |
Isaac H Varon Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6331 Hampton Rd S, Seattle, WA 98118 Phone: 206-725-2748 | |
Westlake Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 400 Pine St Ste 30, Seattle, WA 98101 Phone: 206-624-4898 | |
Dr. Zhi Neng Feng, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 4720 42nd Ave Sw, Seattle, WA 98116 Phone: 206-588-1037 | |
Stephen D Nevett, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 401 Ne Northgate Way Spc 1101, Seattle, WA 98125 Phone: 206-364-2273 Fax: 206-364-2576 | |
Dr. Diana Chau, OD Optometrist Medicare: Medicare Enrolled Practice Location: 9800 4th Ave Ne, Seattle, WA 98115 Phone: 206-302-1200 | |
Cannon Eyecare (at Pike Place's Market Optical) Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1906 Pike Place, Suite 8-b, At Market Optical, Seattle, WA 98101 Phone: 206-448-7739 Fax: 206-448-4924 |