Louis L King, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OK924 Issued in OK

Practice address

308 N Broadway
Coweta, OK 74429-2604

Phone

(918) 486-2146

Fax

(918) 486-4006

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Coweta Eye Care LLC

  • Optometrist
  • Coweta, OK
  • NPI 1881579142
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1063581627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N BROADWAY",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744292604",
            "telephone_number": "918-486-2146",
            "fax_number": "918-486-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N BROADWAY",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744292604",
            "telephone_number": "918-486-2146",
            "fax_number": "918-486-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "LOUIS",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "OK924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE/RAILROAD",
            "identifier": "540010811",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200015410C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey L Jones
• Ashley Renee Keeling
• Rebecca Keith, MS CCC-SLP
• Monica S Kidwell, D.O.
• Tonya L Kimble, BHRS
• Leslie Ann Kolmer, APRN, FNP
• Meghan Fanli Landers, ATC, LAT
• Brandi Lange
• Whitney Elizabeth Langford, APRN
• Sharvea Larman, PTA

• Optometrist in Coweta, OK
• Providers in Coweta, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.