Everett Lyle King, O.D., F.A.A.O.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

WYOMING 143T Issued in WY

Practice address

418 S 5TH St
Laramie, WY 82070-3733

Phone

(307) 745-8554

Fax

(307) 755-5929

NPI assigned

Dec 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Precision Spinal Care LLC

  • Chiropractor
  • North Platte, NE
  • NPI 1639106925
  NPD (past)

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

{
    "created_epoch": "1134864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1699751024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 S 5TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703733",
            "telephone_number": "307-745-8554",
            "fax_number": "307-755-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 S 5TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703733",
            "telephone_number": "307-745-8554",
            "fax_number": "307-755-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "EVERETT",
        "middle_name": "LYLE",
        "name_prefix": "Dr.",
        "credential": "O.D., F.A.A.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-18",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "WY",
            "license": "WYOMING 143T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104080400",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "83-0324373",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Byron Windsor Killpack, D.D.S.
• Tess Monet Kilwein, PHD
• Kimberly Maffei LCSW, LLC
• Michael Kindle
• Victoria Kindle, CNA, HHA
• Kayla Lynn King
• Robert King
• Sara King
• Wendy Burleigh King, APRN
• Leslie Kinner

• Corneal and Contact Management Optometrist in Laramie, WY
• Providers in Laramie, WY by specialty
• Corneal and Contact Management Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.