Active NPI
Dean E King, O.D.
- Optometrist
- Hemet, CA
National Provider Identifier
1790776714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT5416T
- Practice address
- 900 E Morton PL
Hemet, CA 92543-4529 - Phone
- (951) 658-9409
- Fax
- (951) 658-2057
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT5416T | CA | Primary |
Addresses
Primary practice location
900 E Morton PL
Hemet, CA 92543-4529
Mailing address
900 E Morton PL
Hemet, CA 92543-4529
Phone (951) 658-9409
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA5416 | Other | CA | EYEMED VISION ID# |
| 48726 | Other | CA | HEALTH NET VISION |
| OPT5416T | Other | CA | TRICARE/CHAMPUS |
| 06639 | Other | CA | MEDICAL EYE SERVICES ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT5416T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larry C Hughes MD Inc a Medical Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Hemet, CA
- NPI 1861546681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277078400000",
"number": "1790776714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E MORTON PL",
"city": "HEMET",
"state": "CA",
"postal_code": "925434529",
"telephone_number": "951-658-9409",
"fax_number": "951-658-2057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E MORTON PL",
"city": "HEMET",
"state": "CA",
"postal_code": "925434529",
"telephone_number": "951-658-9409",
"fax_number": "951-658-2057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "DEAN",
"middle_name": "E",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2010-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT5416T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED VISION ID#",
"identifier": "CA5416",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET VISION",
"identifier": "48726",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE/CHAMPUS",
"identifier": "OPT5416T",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL EYE SERVICES ID #",
"identifier": "06639",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.