Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Timothy Glenn Mock, OD

Individual provider Optometrist · NPI 1063961654

Dr. Timothy Glenn Mock, OD is an Optometry in Seattle, Washington. Graduated from Pacific University - College of Optometry in 2016, 10 years ago. Practices with Eye Associates Northwest PLLC, a 10-clinician group and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
10
Trained at
Pacific University - College of Optometry
Licensed in
ID, WA
In the registry since
2016
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1101 Madison St Ste 600
Seattle, WA 98104-1340
Phone: (206) 215-2020
Fax: (206) 215-2022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD60677430 (WA)
Optometrist Taxonomy 152W00000X · Licence 100382 (ID)
Optometrist Taxonomy 152W00000X · Licence 60677430 (WA)

Record details

NPI number1063961654
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 24, 2016
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2016 (10 years in practice)
Group practice Eye Associates Northwest Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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