Benjamin Franklin King IV, O.D.

Key facts

NPI

1679566657

Entity type

Individual (NPI type 1)

Primary specialty

Optometrist 152W00000X

License

S539TA271 (AL)

Practice address

2880 Dauphin St
Mobile, AL 36606-2457

Phone

(251) 473-1900

Fax

(251) 470-8942

NPI assigned

Aug 25, 2005

Sex

Male

Sole proprietor

No

Organizations & group practices 6

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.

• Premier Health Management, Inc. Ophthalmology Physician · Mobile, AL · NPI 1538154760
  Medicare reassignment Care Compare group NPD AL · OPTOMETRIST
• Premier Health Management, Inc. Eyewear Supplier · Foley, AL · NPI 1528783024
  Care Compare group NPD
• Premier Health Management, Inc. Eyewear Supplier · Mobile, AL · NPI 1023062213
  Care Compare group
• Premier Health Management, Inc. Eyewear Supplier · Mobile, AL · NPI 1033156153
  Care Compare group
• Premier Health Management, Inc. Eyewear Supplier · Mobile, AL · NPI 1336108232
  Care Compare group
• Premier Health Management, Inc. Eyewear Supplier · Daphne, AL · NPI 1437406121
  Care Compare group

Medicare Care Compare profile

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Health Management Inc (55 clinicians)

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.49 of 100 (group)

Quality

81.75

Promoting interoperability

77

Improvement activities

40

Cost

75.72

Medicare participation

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 19, 2007.

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195430400000",
    "number": "1679566657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366062457",
            "telephone_number": "251-473-1900",
            "fax_number": "251-470-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 DAUPHIN ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366062457",
            "telephone_number": "251-473-1900",
            "fax_number": "251-470-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "BENJAMIN",
        "middle_name": "FRANKLIN",
        "name_suffix": "IV",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2007-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S539TA271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROV #",
            "identifier": "2210143",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "5795115",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "51034503",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING PROVIDER #",
            "identifier": "U06205",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

• Baylee Nicole Kimbrell, LAT, ATC
• Nancy Kincade, LCSW
• Ahsley Elizabeth King
• Alyse King, MS, AT
• Avery Suzanne King
• Brionna King
• Jenna King, CRNP
• Jessica Hughes King, NP-C
• Jo Ann King, OD
• John Heustis King Sr., D.M.D

All providers in Mobile, AL · Optometrist in Alabama