David R King, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10350TPL Issued in CA

Practice address

2020 High St
Suite I
Selma, CA 93662-3518

Phone

(559) 896-3937

Fax

(559) 896-3090

NPI assigned

Aug 26, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, WA2 enrollments

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 2

Specialty

Optometry

Education

University of Southern California Keck School of Medicine, 1994

Medicare assignment

May accept Medicare assignment

Group practices

Aeg Washington Professional PCGroup PAC ID 3476927997, 61 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.71 of 100Reported as individual

Quality

67.41

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• David R. King, O.D., Inc.

  • Optometrist
  • Selma, CA
  • NPI 1962508945
  Medicare reassignment NPD Authorized official
• Aeg Washington Professional PC

  • Optometrist
  • Bellevue, WA
  • NPI 1134835176
  Medicare reassignment Care Compare group NPD
• Advanced Eye Care Center, P.S.

  • Optometrist
  • Vancouver, WA
  • NPI 1013114743
  Medicare reassignment NPD
• David R. King, O.D., Inc.

  • Optometrist
  • Corcoran, CA
  • NPI 1225448913
  NPD

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1720071517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 HIGH ST",
            "address_2": "SUITE I",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623518",
            "telephone_number": "559-896-3937",
            "fax_number": "559-896-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 HIGH ST",
            "address_2": "SUITE I",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623518",
            "telephone_number": "559-896-3937",
            "fax_number": "559-896-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10350TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0103500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ranjit Kaur
• Kathleen Kelley, FNP
• Clinton Kershaw, PA-C
• Heejin Kim, PHARM.D.
• Kil Woo Kim, MD
• Sharon King
• Kings View
• Pamela Jean Kroeker, LCSW
• Mark Sheng Chich Kuo, DMD
• Tracy Claire Kutsenkow, NP

• Optometrist in Selma, CA
• Providers in Selma, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.