Christopher Burnette King, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1845 Issued in FL

Practice address

4400 W Tennessee St
Tallahassee, FL 32304-1029

Phone

(850) 574-6113

NPI assigned

Oct 20, 2005

Last updated

Dec 14, 2016By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• King and King OD PA

  • Optometrist
  • Englewood, FL
  • NPI 1366458994
  NPD (past) Authorized official
• Family Eyecare Center, LLC.

  • Ophthalmology Physician
  • Port Charlotte, FL
  • NPI 1255507075

  Optometrist

  NPD
• North Florida Regional Eyecare, PA

  • Ophthalmology Physician
  • Tallahassee, FL
  • NPI 1790845337
  NPD (past)
• North Florida Regional Eyecare, PA

  • Ophthalmology Physician
  • Tallahassee, FL
  • NPI 1902190895

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1194714220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 VINNEDGE RIDE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035142",
            "telephone_number": "850-556-3290",
            "fax_number": "850-893-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 W TENNESSEE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323041029",
            "telephone_number": "850-574-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "CHRISTOPHER",
        "middle_name": "BURNETTE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "1845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078311100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peninah Kimelman
• Amy L Kimmel
• Sarah Kinel, ARPN-BC
• Nandrycka King Albert
• Brannen Carlile King
• Dolores V King
• Janea King
• Kristin King
• Marcia Jill King, ARNP-C
• Matthew David King, APC

• Optometrist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.