MEDICARE: KAITLYNN TAYLOR BOCK O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	6268	OH

General Provider Information

NPI Number	:	1235544909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLYNN TAYLOR BOCK O.D.

Provider Business Mailing Address
First Line	:	64 EXECUTIVE CENTER DR
Second Line	:
City	:	CHILLICOTHEE
State	:	OH
Zip	:	45601-8087
Country	:	US
Telephone Number	:	740-233-1394
Fax Number	:	740-779-3856

Provider Business Practice Location Address
First Line	:	4762 RIDGE RD
Second Line	:
City	:	BROOKLYN
State	:	OH
Zip	:	44144-3327
Country	:	US
Telephone Number	:	216-351-5300
Fax Number	:	216-351-5300

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2014
Last Update Date	:	12/30/2015

Similar Medicare Providers

1831288620 — VISIONWORKS INC
Practice Location Address:

4762 RIDGE RD
BROOKLYN, OH
44144-3327

Practice Phone: 440-885-1529
Practice Fax: 440-885-3357

1376681585 — DRS KOSUNICK & SCOTT INC
Practice Location Address:

4786B RIDGE RD
BROOKLYN, OH
44144-3327

Practice Phone: 216-398-1436
Practice Fax: 216-398-2572

1053759886 — DR. ABIGAIL DIANE MADER O.D.
Practice Location Address:

4786 RIDGE RD
BROOKLYN, OH
44144-3327

Practice Phone: 740-361-7700
Practice Fax:

1760821607 — DR. DENNIS MITCHELL TUSTAN O.D.
Practice Location Address:

4762 RIDGE RD
BROOKLYN, OH
44144-3327

Practice Phone: 216-351-5300
Practice Fax: 216-351-5303

1275943458 — PERFECT CLARITY LLC
Practice Location Address:

4760 RIDGE RD
BROOKLYN, OH
44144-3327

Practice Phone: 216-377-5520
Practice Fax: 216-377-5523

1316977663 — DR. ADNAN H TAHIR-FADLALLAH M.D.
Practice Location Address:

4758 RIDGE RD , #161
CLEVELAND, OH
44144-3327

Practice Phone: 440-236-8484
Practice Fax:

Directions to “ KAITLYNN TAYLOR BOCK O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.