Active NPI
Helen Jelks King, OD
- Optometrist
- Quincy, FL
National Provider Identifier
1609847433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP1888
- Practice address
- 21 S Madison St
Quincy, FL 32351-3137 - Phone
- (850) 627-9521
- NPI assigned
- Jan 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Tallahassee, FL
- NPI 1902190895
NPD (past) Optometrist
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP1888 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Regional Eyecare, PA | Optometrist | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OP1888 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
21 S Madison St
Quincy, FL 32351-3137
Mailing address
1480 Timberlane Rd
Tallahassee, FL 32312-1713
Phone (850) 893-4005
Other practice location 1
1480 Timberlane Rd
Tallahassee, FL 32312-1713
Phone (850) 893-4005
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0782904 | Medicaid | FL |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2018.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1609847433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 TIMBERLANE RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323121713",
"telephone_number": "850-893-4005",
"fax_number": "850-893-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 S MADISON ST",
"city": "QUINCY",
"state": "FL",
"postal_code": "323513137",
"telephone_number": "850-627-9521"
}
],
"practiceLocations": [
{
"address_1": "1480 Timberlane Rd",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323121713",
"country_code": "US",
"telephone_number": "850-893-4005",
"fax_number": "850-893-9987",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "HELEN",
"middle_name": "JELKS",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OP1888",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0782904",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.