Fred King Jr OD, P.L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FRED KING JR OD, P.L.L.C.

Practice address

152 Blackberry Creek LN
Mooresville, NC 28115-3927

Phone

(704) 241-0326

NPI assigned

Jun 29, 2024

Last updated

Jun 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fred King Jr., OD

Title

Member/Organizer

Phone

(704) 241-0326

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1719619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719619200000",
    "number": "1942045091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 BLACKBERRY CREEK LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153927",
            "telephone_number": "704-241-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 BLACKBERRY CREEK LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153927",
            "telephone_number": "704-241-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED KING JR OD, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-29",
        "last_updated": "2024-06-29",
        "certification_date": "2024-06-29",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "MEMBER/ORGANIZER",
        "authorized_official_telephone_number": "704-241-0326",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Mae Royer Fox
• Jessica Lyn Fox, DO
• Alexandria Franco, BCBA
• Helena Franco, IBCLC
• Nicole Cecilia Francois, FNP-BC/ APRN
• Emily Fred
• Freedom Mobility Center, Inc.
• Shanequia Freeman
• Ashley E Friend
• Susan Friguglietti

• Optometrist in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.