Eric N King, O.D
Individual provider Active NPI Optometrist · Stanford, KY
NPI 1336203231 · NPPES record last updated Nov 18, 2014
Key facts
- NPI
- 1336203231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- KY1294DT (KY)
- Practice address
- 101 US Highway 150 Byp
Suite 117
Stanford, KY 40484-1034 - Phone
- (606) 365-2195
- Fax
- (606) 365-2195
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
101 US Hwy 150 Byp
Suite 117
Stanford, KY 40484-1000
Phone (606) 365-2195
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 90 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100827000516 | KY | Practitioner - Optometry | 1951425974 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY1294DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Eye Center PSC | Optometrist | Current |
Accepting new patients |
| Huffman and Huffman PSC | Optometrist | Past | Accepting new patients |
Locations
101 US Highway 150 Byp
Ste 117
Stanford, KY 40484
Phone (270) 692-0047
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | KY1294DT | KY | Yes |
Addresses
Primary practice location
101 US Highway 150 Byp
Suite 117
Stanford, KY 40484-1034
Mailing address
101 US Highway 150 Byp
Suite 117
Stanford, KY 40484-1034
Phone (606) 365-2195
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5281470001 | Other | KY | PALMETTO PROVIDER ID |
| 77012946 | Medicaid | KY |
Other providers in Stanford, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.