Holton S King Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1106 Issued in GA

Practice address

118 Vision Dr
Cornelia, GA 30531-5737

Phone

(706) 776-6311

Fax

(706) 776-7243

NPI assigned

Oct 6, 2005

Last updated

Feb 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Georgia Vision Care LLCGroup PAC ID 7416055603, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Northeast Georgia Vision Care LLC

  dba Jenkins Vision Care

  • Optometrist
  • Athens, GA
  • NPI 1336281971
  Medicare reassignment Care Compare group NPD
• Northeast Georgia Vision Care LLC

  dba King Vision Care

  • Optometrist
  • Cornelia, GA
  • NPI 1487641858
  NPD Authorized official
• Northeast Georgia Vision Care, LC

  dba King Vision Care

  • Optometrist
  • Cornelia, GA
  • NPI 1689837593
  Authorized official Same address or phone

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1194713990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 VISION DR",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305315737",
            "telephone_number": "706-776-6311",
            "fax_number": "706-776-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 VISION DR",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305315737",
            "telephone_number": "706-776-6311",
            "fax_number": "706-776-7243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "HOLTON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00515545B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Monroe Colston (Cornelia Pharmacy)
• Rosmery Del Carmen Jimenez de Rodriguez
• Kimberly B Kaminski, RPH
• Kathryn Kaplan Kelly, M.S., CCC-SLP
• Tarek John Kerbage, RPH
• Patricia S Kleinert, PHARMD
• Tar Lee
• Lifecare EMS of Georgia, LLC
• Kylea Carver McCay
• Katie McClain, FNP-C

• Optometrist in Cornelia, GA
• Providers in Cornelia, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2011; 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.