King Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KING VISION LLC

Practice address

4810 North St
Nacogdoches, TX 75965-1876

Phone

(954) 261-1026

NPI assigned

Jun 10, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Lashawn Pierre, ODNPI 1871572933

Title

Founder/Optometerist

Phone

(936) 569-2015

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline La-Shawn Pierre, OD

  • Optometrist
  • Nacogdoches, TX
  • NPI 1871572933
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1780243097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 CAROLE ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652267",
            "telephone_number": "954-261-1026",
            "fax_number": "936-398-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 NORTH ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651876",
            "telephone_number": "954-261-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "LASHAWN",
        "authorized_official_title_or_position": "FOUNDER/OPTOMETERIST",
        "authorized_official_telephone_number": "936-569-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Joseph Kiesel, D.D.S.
• Wendy Kay Killam, LPC
• Kelly Killfoil
• Kim M Schaus MD PA
• Kimberly Biggs-Lewis PLLC
• Alisa Rebecca King, CNM
• Hunter Kirkes
• Kirkindoff Corner Counseling
• Adriana Danielle Kirkindoff, LPC
• Michelle Pack Klein, RN

• Optometrist in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.