Individual provider Active NPI

David King

  • Optometrist
  • Battle Creek, MI
National Provider Identifier
1770142739
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005723 Issued in MI
Practice address
1125 Columbia Ave W
Battle Creek, MI 49015-3031
Phone
(269) 963-1298
NPI assigned
Jun 12, 2019
Last updated
Sep 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005723 MI Primary

Addresses

Primary practice location

1125 Columbia Ave W
Battle Creek, MI 49015-3031

Mailing address

1125 Columbia Ave W
Battle Creek, MI 49015-3031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, MI2 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

Enrollment IDStateProvider typePAC IDDetails
I20190816001263 MN Practitioner - Optometry 0143557918 Reassigns benefits to 1 organization
I20240124004525 MI Practitioner - Optometry 0143557918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2019
Medicare assignment
May accept Medicare assignment
Group practices
King Family Eyecare PLLCGroup PAC ID 6800249996, 2 clinicians

Practice addresses (Care Compare)

1125 Columbia Ave W
Ray's Optical Services
Battle Creek, MI 49015-3031
Phone (269) 963-1298

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3623MNMDMarriage & Family Therapist
4901005723MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Akre & Clark, LTD. Optometrist CurrentSince Jul 1, 2019 Accepting new patients
DRS. Akre & Clark, LTD. Optometrist CurrentSince Jul 1, 2019 Accepting new patients
King Family Eyecare PLLC Optometrist CurrentSince Oct 2, 2023 Accepting new patients
DRS. Akre & Clark, LTD. Optometrist PastSince Dec 1, 2019 Accepting new patients

Locations

1125 Columbia Ave W
Battle Creek, MI 49015
Phone (269) 963-1298

1715 S Broadway St
New Ulm, MN 56073
Phone (507) 354-8531

Organizations & group practices 4

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1770142739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 COLUMBIA AVE W",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490153031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 COLUMBIA AVE W",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490153031",
            "telephone_number": "269-963-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.