Individual provider Active NPI

Isabel Kathleen King, OD

  • Optometrist
  • Battle Creek, MI
National Provider Identifier
1295394765
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005722 Issued in MI
Practice address
1125 Columbia Ave W
Battle Creek, MI 49015-3031
Phone
(269) 963-1298
Fax
(269) 963-5950
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005722 MI Primary

Addresses

Primary practice location

1125 Columbia Ave W
Battle Creek, MI 49015-3031

Mailing address

1125 Columbia Ave W
Battle Creek, MI 49015-3031
Phone (269) 963-1298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190701000924 MN Practitioner - Optometry 8628302320 Reassigns benefits to 1 organization
I20240307003982 MI Practitioner - Optometry 8628302320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2019
Medicare assignment
May accept Medicare assignment
Group practices
King Family Eyecare PLLCGroup PAC ID 6800249996, 2 clinicians
Centracare Clinic Southwest LLCGroup PAC ID 8426457946, 172 clinicians
Onsight IncGroup PAC ID 6507938800, 27 clinicians

Practice addresses (Care Compare)

1125 Columbia Ave W
Ray'S Optical Services
Battle Creek, MI 49015-3031
Phone (269) 963-1298

600 Peterson Pkwy
New London, MN 56273-7823
Phone (320) 354-2222

601 Abbot Rd
East Lansing, MI 48823-3366
Phone 24852821166

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3628MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
King Family Eyecare PLLC Optometrist CurrentSince Feb 3, 2024 Accepting new patients
Onsight, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Onsight, Inc. CurrentSince Jan 12, 2026 Accepting new patients
Giaimo Mobile Podiatry of WV PLLC Past Accepting new patients
Onsight, Inc. Past Accepting new patients
Mobile Medical Inc Optometrist Past Accepting new patients

Locations

1125 Columbia Ave W
Battle Creek, MI 49015
Phone (269) 963-1298

2567 W Grand Blvd
Detroit, MI 48208
Phone (313) 895-2990

601 Abbott Rd
East Lansing, MI 48823
Phone 24852821166

1200 Kirts Blvd
Ste 200
Troy, MI 48084
Phone 24852819814031

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1295394765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 COLUMBIA AVE W",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490153031",
            "telephone_number": "269-963-1298",
            "fax_number": "269-963-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 COLUMBIA AVE W",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490153031",
            "telephone_number": "269-963-1298",
            "fax_number": "269-963-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "ISABEL",
        "middle_name": "KATHLEEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.