Mock, Lawrence Glen

Mock, Lawrence Glen is an sole proprietor health care provider with primary practice located at 1389 N Broadway , Walnut Creek CA 94596-4636. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mock, Lawrence Glen can be contacted via phone (925) 930-7484.

Contact Information

Primary practice address
1389 N Broadway Walnut Creek CA 94596-4636
Fax: (925) 930-7469
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT5571T California

Profile Details

NPI number 1164419149
LBN Legal business name Mock, Lawrence Glen
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated Apr 12th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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