DR. KENNETH WILLIAM KING JR.


Address: 1480 E Lincoln Rd, Idaho Falls, ID 83401-2128
Phone: 2085258686

DR. KENNETH WILLIAM KING JR. (NPI# 1174524722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174524722
Entity Type Individual
Full Name DR. KENNETH WILLIAM KING JR.
Credential O.D.
Practice Address 1480 E Lincoln Rd
Idaho Falls
ID 83401-2128
Practice Telephone 2085258686
Practice Fax Number 2085258684
Mailing Telephone 2085258686
Mailing Fax Number 2085258684
Enumeration Date 2005-08-04
Last Update Date 2013-12-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152WC0802X Optometrist
Specialization: Corneal and Contact Management
ODP0467 ID Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
DMERC 0605250001 01
CHAMPUS I-902428 01
ID 002543100 05
ID BLUE SHIELD 82052 01

Other Providers KENNETH KING

NPI Name Taxonomy Address Enumeration
1376751636 Kenneth D King Massage Therapist 2024 54th Ave E, Suite A, Fife, WA 98424-1901 2007-05-18
1447466842 Kenneth Joe King Dentist 2815 Eastex Fwy, Houston, TX 77026-6009 2007-05-15
1811027329 Kenneth R King Psychiatry & Neurology 15600 Redmond Way Ste 201, Redmond, WA 98052-3862 2007-03-06
1164587796 Kenneth Arthur King Dentist 10920 River Front Pkwy, Roseman University of Health Sciences, Codm, South Jordan, UT 84095-3538 2006-12-26
1750469680 Kenneth Brian King Optometrist 4501 Heritage Trace Pkwy Ste 121, Fort Worth, TX 76244 2006-11-01
1568434843 Kenneth B King Internal Medicine 500 George Mcclain Drive, Benton, KY 42025 2006-02-02
1942206651 Kenneth Raymond King Allergy & Immunology 2101 Executive Dr, Tower Box 56, Hampton, VA 23666-2404 2005-06-27
1568086346 Kenneth Leroy King Sr. Student in an Organized Health Care Education/Training Program 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 2020-06-08
1548738941 Kenneth King Physical Therapist 5 Pequot Park Rd Ste 102, Westbrook, CT 06498-2856 2018-11-05
1386177327 Kenneth Ron King Podiatrist 13030 121st Way Ne Ste 204, Kirkland, WA 98034-3008 2017-04-06

Office Location

Street Address 1480 E LINCOLN RD
City IDAHO FALLS
State ID
Zip Code 83401-2128

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194174441 Scott David Hyatt Optometrist 1480 E Lincoln Rd, Idaho Falls, ID 83401-2128 2016-06-08
1689015075 Melanie Dawn Clark Optometrist 1480 E Lincoln Rd, Idaho Falls, ID 83401-2128 2013-07-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407454796 Natalie M Theriault Acupuncturist 864 S Holmes, Idaho Falls, ID 83401 2020-10-09
1366099293 Idaho Recovery Center, LLC. Counselor 771 South Woodruff Avenue, Idaho Falls, ID 83401 2019-08-26
1851859110 Rebecca Chidester Counselor 771 Parkwood St., Idaho Falls, ID 83401 2019-03-06
1467924985 Benchmark Home Health Registered Nurse 2098 Gladys Dr., Idaho Falls, ID 83401 2018-12-21
1134625338 Idaho Falls Hand Therapy Limited Partnership Clinic/Center 564 S Woodruff Avenue, Idaho Falls, ID 83401 2018-04-05
1992227367 Brenda Emery Rehabilitation Practitioner 540 3rd Street, Idaho Falls, ID 83401 2017-07-07
1689068454 Addiction Treatment Centers of Idaho Community/Behavioral Health 211 S. Woodruff Avenue, Idaho Falls, ID 83401 2015-03-19
1386986412 Jennifer Lee Henderson Psychologist 111 E. 16th Street, Innovative Health Care Concepts Inc., Idaho Falls, ID 83401 2013-03-27
1487994430 Sterling Physician Group Pllc Clinic/Center 740 S. Woodruff Ave, Idaho Falls, ID 83401 2013-02-27
1952638025 Allstar Counseling Inc. Case Management 550 2nd Street, Suite 269, Idaho Falls, ID 83401 2009-11-11
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Taxonomy Information

Taxonomy Code 152WC0802X
Grouping Eye and Vision Services Providers
Classification Optometrist
Specialization Corneal and Contact Management

Taxonomy Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Notes: Source: American Optometric Association [1/1/2009: added definition, added source]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1700163839 Nicholas J Kelsey Optometrist 503 Broadway Ave S, Suite A, Buhl, ID 83316-1312 2011-11-03
1619185485 Ada County Eyecare, P.C. Optometrist 2069 E Feldspar Ct, Boise, ID 83712-8456 2007-05-18
1285759753 Brent Anthony Galvan Optometrist 8102 W Northview St, Boise, ID 83704-4406 2007-03-20
1194823930 Deborah Ann Amato Optometrist 8641 W Franklin, Boise, ID 83709 2006-09-20
1821082470 Lance F Ough Optometrist 350 N Milwaukee St, #2153, Boise, ID 83704-9123 2005-09-08
1447540802 Cole Family Eye Center, Pa Optometrist 8102 W Northview St, Boise, ID 83704 2011-04-19
1033302161 Rob Dee Christensen Optometrist 1410 Broadway Ave, Boise, ID 83706-3706 2007-08-22
1427256288 Scott Burns Taylor Optometrist 1301 Main St, Suite 10, Salmon, ID 83467-4453 2007-07-03
1538388624 Sparhawk Vision, Chtd Optometrist 2025 12th Ave Rd, Suite 100, Nampa, ID 83686-6459 2007-04-25
1225178593 Douglass Eugene Hanson Optometrist 24 E Main St, Rexburg, ID 83440-1927 2007-02-07
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Competitor

Search similar providers

City IDAHO FALLS
Zip Code 83401

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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