Rebecca M King, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2625 Issued in AR

Practice address

201 Skyline Dr Ste 37
Conway, AR 72032-3500

Phone

(501) 450-9191

Fax

(501) 450-9922

NPI assigned

Jul 2, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Becky King Other name

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rebecca M. King, O.D., P.a.

  dba Clarksville Family Eye Care

  • Optometrist
  • Clarksville, AR
  • NPI 1922440270
  Medicare reassignment NPD Authorized official
• Donald L. Baker

  • Eyewear Supplier
  • Clarksville, AR
  • NPI 1124201744
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1043449713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SKYLINE DR STE 37",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720323500",
            "telephone_number": "501-450-9191",
            "fax_number": "501-450-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SKYLINE DR STE 37",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720323500",
            "telephone_number": "501-450-9191",
            "fax_number": "501-450-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "REBECCA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BECKY",
            "last_name": "KING",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brock K. King, M.D.
• Deborha Nicole King, PT, DPT
• Jacara King
• Kristen King, APRN
• Nicole King, OTR/L
• Rhomie L King, MS
• Samantha Raven King
• Scarlett King
• Shayna Jessalyn King
• Stephen King

• Optometrist in Conway, AR
• Providers in Conway, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.