Individual provider Active NPI

William Z King, O.D.

  • Optometrist
  • Goshen, IN
National Provider Identifier
1689011413
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003785A Issued in IN
Practice address
1615 Winsted Dr
Goshen, IN 46526-4696
Phone
(574) 533-8633
NPI assigned
Jun 3, 2013
Last updated
Apr 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003785A IN Primary

Addresses

Primary practice location

1615 Winsted Dr
Goshen, IN 46526-4696

Mailing address

1615 Winsted Dr
Goshen, IN 46526-4696
Phone (574) 533-8633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20150318000593 IN Practitioner - Optometry 4183941826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Eye Consultants PCGroup PAC ID 2961399217, 71 clinicians

Practice addresses (Care Compare)

30 N Emerson Ave
Greenwood, IN 46143-8895
Phone (317) 881-3937

Merit-based Incentive Payment System (MIPS)

Final score
55.99 of 100Reported as group
Quality
31.67
Improvement activities
40
Cost
78.58

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Consultants, P.C. CurrentSince Sep 16, 2023 Accepting new patients
Midwest Eye Consultants, PC Optometrist CurrentSince Sep 16, 2023 Accepting new patients
Midwest Eye Consultants, P.C. Current Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

2750 Central Ave
#53
Columbus, IN 47201
Phone (812) 372-4463

30 N Emerson Ave
Greenwood, IN 46143
Phone (317) 881-3937

5319 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 755-2254

301 J St
Laporte, IN 46350
Phone (219) 326-9569

301 J St
#34
Laporte, IN 46350
Phone (219) 362-8923

1100 Southfield Dr
Ste 1320
Plainfield, IN 46168
Phone (317) 839-7300

2601 Stout Heritage Pkwy
Ste 100
Plainfield, IN 46168
Phone (317) 272-2020

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1689011413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 WINSTED DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264696",
            "telephone_number": "574-533-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 WINSTED DR",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465264696",
            "telephone_number": "574-533-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "WILLIAM",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003785A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, IN

Sources for this page

Verify at the official NPI Registry.