Active NPI
III Kings Inc.
- Ophthalmic Assistant
- Philadelphia, PA
National Provider Identifier
1730300104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Assistant
- Legal business name
- III KINGS INC.
- Doing business as
- Tru-Site Optical Co., Inc.
- Practice address
- 1550 Pratt St
Philadelphia, PA 19124-1923 - Phone
- (215) 533-9392
- Fax
- (215) 533-9391
- NPI assigned
- May 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul King, OPTICIAN
- Title
- Ceo
- Phone
- (215) 237-4737
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmic Assistant | 156FX1101X | Primary |
Addresses
Primary practice location
1550 Pratt St
Philadelphia, PA 19124-1923
Mailing address
2801 N 22ND St
Philadelphia, PA 19132-2626
Phone (215) 226-0355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0852186 | Medicaid | PA |
Other names 1
- Tru-Site Optical Co., Inc.
National Provider Directory
National Provider DirectoryLocations
2801 N 22nd St
Philadelphia, PA 19132
Phone (215) 226-0355
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Philadelphia, PA
- NPI 1336695220
-
- Corneal and Contact Management Optometrist
- Philadelphia, PA
- NPI 1912963570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279152000000",
"number": "1730300104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 N 22ND ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191322626",
"telephone_number": "215-226-0355",
"fax_number": "215-226-1056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 PRATT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191241923",
"telephone_number": "215-533-9392",
"fax_number": "215-533-9391"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "III KINGS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2010-07-15",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "215-237-4737",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OPTICIAN"
},
"taxonomies": [
{
"code": "156FX1101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Ophthalmic Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0852186",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tru-Site Optical Co., Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.