Kingdom Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KINGDOM EYECARE

Practice address

1125 Shreveport Barksdale Hwy
Shreveport, LA 71105-2404

Phone

(318) 861-8982

Fax

(318) 861-8986

NPI assigned

Jul 13, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Tiffany Griffin, ODNPI 1730468851

Title

Owner

Phone

(318) 861-8982

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

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

• Tiffany Michelle Griffin, O.D.

  • Optometrist
  • Shreveport, LA
  • NPI 1730468851
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1962136226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 SHREVEPORT BARKSDALE HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052404",
            "telephone_number": "318-861-8982",
            "fax_number": "318-861-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 SHREVEPORT BARKSDALE HWY",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052404",
            "telephone_number": "318-861-8982",
            "fax_number": "318-861-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGDOM EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-861-8982",
        "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": []
}

• Tanya D King
• Tracy King
• Tracy Turner King, CRNA
• Wendy King, FNP-C
• William Douglas King, M.D.
• Kings Healthcare Clinics LLC
• Kings Transit
• Alesha N Kingsby
• Kingz Transportation
• Chloe Claudette Kinley, CRNA

• Optometrist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.