ERNEST DALE BROCK O.D., NPI 1538161708
Optometrist in WEST FRANKFORT, IL
Last Updated on : Feb 17,2009
About ERNEST DALE BROCK (NPI 1538161708)
ERNEST DALE BROCK is an Optometrist provider in WEST FRANKFORT, United States. His medical specialization is Optometrist .
1538161708 is NPI number of ERNEST DALE BROCK.
ERNEST DALE BROCK's primary taxonomy code based on NPI Lookup is 152W00000X with license number 046-006814. This taxonomy code refers to Optometrist.
ERNEST DALE BROCK has more than 17 years of experience.
ERNEST DALE BROCK current practice location address is 202 E CLARK ST, WEST FRANKFORT, IL. ERNEST DALE BROCK can be reached out via phone at 618-937-3126 and via fax at 618-937-3344 .
You can also correspond with ERNEST DALE BROCK through mail at mailing address 202 E CLARK ST, WEST FRANKFORT, IL, United States. Mailing address contact number is 618-937-3126.
The enumeration date of ERNEST DALE BROCK is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 14 years ago.1538161708 NPI Information
Basic NPI information of ERNEST DALE BROCK (NPI 1538161708) is provided below.
| Name | ERNEST DALE BROCK |
|---|---|
| National Provider Id (NPI) | 1538161708 |
| Entity Type | Individual |
| Gender | M |
| Credential | O.D. |
| Practice Address | 202 E CLARK ST,
WEST FRANKFORT, IL, United States |
| Practice Telephone | 618-937-3126 |
| Practice Fax Number | 618-937-3344 |
| Mailing Address | 202 E CLARK ST ,
WEST FRANKFORT, IL, United States |
| Mailing Telephone | 618-937-3126 |
| Mailing Fax Number | 618-937-3344 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 17-Feb-2009 |
ERNEST DALE BROCK (NPI 1538161708) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046-006814 | IL |
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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
ERNEST DALE BROCK (NPI 1538161708) Office Location
Office location of ERNEST DALE BROCK is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1437505526 | MELISSA AARON | Social Worker | 902 W MAIN ST,
WEST FRANKFORT, IL, United States |
09-May-2016 |
| 1104491547 | BRITTANY ADAMS | Counselor | 902 W MAIN ST,
WEST FRANKFORT, IL, United States |
26-May-2021 |
| 1255999488 | LAUREN ELIZABETH ADAMS | Licensed Practical Nurse | 507 S MAPLE ST APT C,
WEST FRANKFORT, IL, United States |
03-Jun-2019 |
| 1225589740 | ADKINS FAMILY PRACTICE, LLC | Nurse Practitioner, Family | 406 W SAINT LOUIS ST,
WEST FRANKFORT, IL, United States |
19-Oct-2016 |
| 1881970358 | JON ADKINS | Counselor, Mental Health | 902 W MAIN ST,
WEST FRANKFORT, IL, United States |
28-Oct-2011 |
| 1649957648 | ADVANCED SURGICAL TECHNOLOGY, LLC | Clinic/Center, Rural Health | 309 W SAINT LOUIS ST STE A,
WEST FRANKFORT, IL, United States |
30-Jun-2023 |
| 1861497521 | HIND AL-SHARIF | Pediatrics | 310 WEST ST LOUIS STREET,
WEST FRANKFORT, IL, United States |
17-Jun-2005 |
| 1619546199 | SAMANTHA ALBEEDH | Counselor | 2311 S ILLINOIS AVE,
CARBONDALE, IL, United States |
21-Jun-2021 |
| 1891318259 | SAMANTHA ALLEN | Counselor | 902 W MAIN ST,
WEST FRANKFORT, IL, United States |
20-May-2020 |
| 1275236077 | OYINDAMOLA O ALUKO | Nurse Practitioner, Psych/Mental Health | 902 W MAIN ST,
WEST FRANKFORT, IL, United States |
22-Mar-2023 |
| 1578930772 | ROBERT AMES | Counselor | 902 W MAIN ST,
WEST FRANKFORT, IL, United States |
24-Aug-2015 |
| 1659745776 | AMY BROY DBA DEVELOPMENTAL THERAPY SERVICES | Early Intervention Provider Agency | 610 N HORRELL AVE,
WEST FRANKFORT, IL, United States |
01-Dec-2015 |
| 1366052466 | ALYSSA ANDERSON | Counselor | 403 MUNICIPAL DR,
CARTERVILLE, IL, United States |
04-Aug-2020 |
| 1396859328 | ANNA L ANDERSON | Physician Assistant | 405 RUSHING DR,
HERRIN, IL, United States |
18-Aug-2006 |
| 1770848079 | DAWN ANDERSON | Counselor | 4815 N ASSEMBLY ST,
SPOKANE, WA, United States |
12-Jul-2012 |
| 1346817160 | MISTY ANDERSON | Counselor | 902 W MAIN ST,
WEST FRANKFORT, IL, United States |
09-Jun-2021 |
| 1861006017 | ROBERT ANDERSON | Counselor | 902 W MAIN ST,
WEST FRANKFORT, IL, United States |
04-Sep-2020 |
| 1730556945 | ROBERT L ANDREWS | Counselor | 902 W MAIN ST,
WEST FRANKFORT, IL, United States |
24-Aug-2015 |
| 1508514175 | MAURICE LEWIS ANTHONY | Counselor | 902 W MAIN ST,
WEST FRANKFORT, IL, United States |
14-Mar-2022 |
| 1619344827 | JASON L ANTOINE | Counselor | 902 W MAIN ST,
WEST FRANKFORT, IL, United States |
24-Aug-2015 |
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FAQs
Whose NPI Number is 1538161708?1538161708 is the NPI number of ERNEST DALE BROCK.
What is the specialty for ERNEST DALE BROCK?The Specialty of ERNEST DALE BROCK is Optometrist.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|