Christian A King, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

611174299 Issued in OH

Practice address

1001 S Defiance St
1001 South Defiance St
Archbold, OH 43502-1617

Phone

(419) 445-5436

Fax

(419) 446-4818

NPI assigned

Jul 17, 2006

Last updated

Sep 25, 2008By 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 3

Medicare fee-for-service enrollment

Enrolled in OH

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

Ohio State University - College of Optometry, 1989

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

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.

• Dr. Christian a. King Optometrist, LLC

  • Optometrist
  • Archbold, OH
  • NPI 1891946158
  Medicare reassignment NPD Authorized official
• Kings Vision Center

  • Optometrist
  • Archbold, OH
  • NPI 1457203614
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1215955570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S DEFIANCE ST",
            "address_2": "P.O. BOX 38",
            "city": "ARCHBOLD",
            "state": "OH",
            "postal_code": "435021617",
            "telephone_number": "419-445-5436",
            "fax_number": "419-446-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S DEFIANCE ST",
            "address_2": "1001 SOUTH DEFIANCE ST",
            "city": "ARCHBOLD",
            "state": "OH",
            "postal_code": "435021617",
            "telephone_number": "419-445-5436",
            "fax_number": "419-446-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "CHRISTIAN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "611174299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0768129",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "0716620001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR",
            "identifier": "KI0655791",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph a. Targonski (Archbold Chiropractic Center)
• Sabrina Marie Kaiser, OTR
• Kaywes Inc (Klinger Pharmacy)
• Melissa Kiernan, PT
• Kayla Marie Kimble, PA-C
• Dagmar King
• Kings Vision Center
• Michelle Kistner, LPCC-S
• Leah Kleman
• Jamie Knueven

• Optometrist in Archbold, OH
• Providers in Archbold, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.