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E DALE BROCK OD PC
NPI 1275716839
Optometrist in West Frankfort, IL

Active since December 06, 2007
202 E CLARK ST, WEST FRANKFORT, IL 62896(618) 937-3126(618) 937-3344 Get Directions Write a Review

NPPES record last updated: September 2, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About E Dale Brock Od Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

E DALE BROCK OD PC (NPI 1275716839) is a healthcare organization registered as an optometrist in West Frankfort, Illinois and active in the NPI registry since December 2007. The organization lists Ernest Dale Brock, President, as its authorized official.

NPPES Registry Identity

NPI1275716839
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameE DALE BROCK OD PC
Location Address202 E CLARK STWest Frankfort, IL 62896-2706
Mailing Address202 E Clark StWest Frankfort, IL 62896-2706 · (618) 937-3126 · Fax (618) 937-3344
Phone(618) 937-3126
Fax(618) 937-3344
Organization SubpartNo
Authorized OfficialErnest Dale BrockPresident · (618) 937-3126
Enumeration DateDecember 6, 2007
Last NPPES UpdateSeptember 2, 2009
✔ NPI 1275716839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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 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.
202 E CLARK ST, West Frankfort, IL 62896
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Other Identifiers 2

Medicare UPIN234570IL
Medicare NSC0705620001IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERESA MYERS O.D.
Optometrist
202 E CLARK ST
WEST FRANKFORT, IL 62896
Franklin County (618) 937-3126
DR. ERNEST DALE BROCK O.D.
Optometrist
202 E CLARK ST
WEST FRANKFORT, IL 62896
Franklin County (618) 937-3126

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is E Dale Brock Od PC's NPI number?

The NPI number for E Dale Brock Od PC is 1275716839. It was assigned to this organization in the NPPES registry on December 6, 2007.

Where is E Dale Brock Od PC located?

E Dale Brock Od PC is located at 202 E Clark St, West Frankfort, IL 62896. The listed phone number is (618) 937-3126.

What is E Dale Brock Od PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for E Dale Brock Od PC was last updated on September 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.