Active NPI
Stephanie Irene King, OD
- Optometrist
- Robins Afb, GA
National Provider Identifier
1023079944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.009827
- Practice address
- 655 7TH St BLDG 700
Robins Afb, GA 31098-2227 - Phone
- (478) 327-8487
- NPI assigned
- Mar 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046.009827 | IL | Primary |
Addresses
Primary practice location
655 7TH St BLDG 700
Robins Afb, GA 31098-2227
Mailing address
655 Seventh St
BLDG 700
Robins Afb, GA 31098
Phone (478) 327-8487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.009827 | IL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1023079944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 SEVENTH ST",
"address_2": "BLDG 700",
"city": "ROBINS AFB",
"state": "GA",
"postal_code": "31098",
"telephone_number": "478-327-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 7TH ST BLDG 700",
"city": "ROBINS AFB",
"state": "GA",
"postal_code": "310982227",
"telephone_number": "478-327-8487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "STEPHANIE",
"middle_name": "IRENE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-30",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046.009827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Robins Afb, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.