MARY MICHELLE KING (NPI# 1578792107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578792107 |
| Entity Type | Individual |
| Full Name | MARY MICHELLE KING |
| Credential | O.D. |
| Practice Address |
1741 Eastlake Pkwy Ste 101 Chula Vista CA 91915-2032 |
| Practice Telephone | 6194216600 |
| Practice Fax Number | 6194216006 |
| Mailing Telephone | 6194216600 |
| Mailing Fax Number | 6194216006 |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-07-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 13711 | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497245328 | Mary Alice King | Counselor | 513 Woodland Drive, Hartsville, SC 29550 | 2018-05-16 |
| 1639693856 | Mary King | Pharmacist | 55 Mathews Dr, Hilton Head Island, SC 29926-3700 | 2017-07-30 |
| 1205245602 | Mary Helen King | Dental Hygienist | 2716 Ne 87th Cir, Vancouver, WA 98665-1110 | 2014-08-11 |
| 1063719904 | Mary King | Counselor | 6308 Snow Ridge Ct, Arlington, TX 76018-3160 | 2011-02-11 |
| 1972741247 | Mary King | Registered Nurse | 200 Ingersoll Ln, Barton, VT 05822-8647 | 2009-01-26 |
| 1912033424 | Mary Alice King | Social Worker | 21 Old State Rd, Hopewell Junction, NY 12533-6634 | 2007-02-26 |
| 1154351906 | Mary C King | Counselor | 8624 Appleton Ct, Annandale, VA 22003-3806 | 2006-07-04 |
| 1033150362 | Mary E King | Chiropractor | 5725 Oleander Dr Ste B6, Wilmington, NC 28403-4749 | 2006-06-09 |
| 1255338083 | Mary J King | Internal Medicine | 8130 66th St N, Suite 1, Pinellas Park, FL 33781-2111 | 2005-07-07 |
| 1265435655 | Mary P. King | Family Medicine | 2750 Merrick Rd, Bellmore, NY 11710-5720 | 2005-05-31 |
| Street Address |
1741 EASTLAKE PKWY STE 101 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91915-2032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376793828 | Keddington & Kalra Optometrists Apc | Optometrist | 1741 Eastlake Pkwy Ste 101, Chula Vista, CA 91915-2032 | 2008-09-22 |
| 1740701481 | Elias Toubia | Optometrist | 1741 Eastlake Pkwy Ste 101, Chula Vista, CA 91915-2032 | 2017-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382206 | Oscar Brian Castillo | Student in an Organized Health Care Education/Training Program | 9123 Stylus Street Apt 301, Chula Vista, CA 91915 | 2019-12-10 |
| 1912430596 | Jennifer Soriano | Respiratory Therapist, Registered | 2074 Barbados Cove #3, Chula Vista, CA 91915 | 2017-04-10 |
| 1801333992 | Us Navy | Military Hospital | 1752 Trellis Way, Chula Vista, CA 91915 | 2017-01-26 |
| 1447640750 | Lotus Behavioral Health and Rehabilitation Services Inc. | Community/Behavioral Health | 1612-4 Paseo Carina, Chula Vista, CA 91915 | 2015-01-26 |
| 1417376187 | Joshua Hervas | Military Health Care Provider | 2710 Apricot Court, Chula Vista, CA 91915 | 2014-04-10 |
| 1477844280 | Alredo Chavez | Military Health Care Provider | 2460 Steamboat Springs Ct., Chula Vista, CA 91915 | 2011-04-27 |
| 1821307612 | Reginald Alano Demapelis | Military Health Care Provider | 1510 Circulo Brindisi, Chula Vista, CA 91915 | 2010-09-28 |
| 1184872392 | Marietta Galang | Registered Nurse | 1249 Long View Drive, Chula Vista, CA 91915 | 2008-08-29 |
| 1952576456 | Eric John R Eusebio Dmd Inc | Dentist | 2127 Olympic Parkway, #1003, Chula Vista, CA 91915 | 2008-04-25 |
| 1932226115 | Jose Luis Guzman | Dentist | 1645 Hickory Nut Pl, Chula Vista, CA 91915 | 2007-03-23 |
| Find all providers in zip 91915 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730676727 | Pei Chi Chain | Optometrist | 324 F Street., Chula Vista, CA 91910 | 2018-04-16 |
| 1184146094 | Alexandra Lynn Scovill | Optometrist | Castillejos Eye Institute Medical Group, 342 F Street, Chula Vista, CA 91910 | 2017-07-12 |
| 1942747548 | Daniel & Max, LLC | Optometrist | 1295 Broadway Ste 209-210, Chula Vista, CA 91911-2982 | 2017-01-21 |
| 1619379278 | Rachel Joslyn Lee | Optometrist | 1741 Eastlake Pkwy, Suite 101, Chula Vista, CA 91915-2032 | 2014-09-25 |
| 1699183673 | Charmine Trajano | Optometrist | 890 Eastlake Pkwy Ste 102, Chula Vista, CA 91914-4521 | 2014-07-23 |
| 1639467467 | Ethan S Diep | Optometrist | 878 Eastlake Pkwy Ste 1011, Chula Vista, CA 91914-4546 | 2011-07-14 |
| 1376793828 | Keddington & Kalra Optometrists Apc | Optometrist | 1741 Eastlake Pkwy Ste 101, Chula Vista, CA 91915-2032 | 2008-09-22 |
| 1275797888 | Jacqueline Martin Haro | Optometrist | 1829 Cabernet Dr, Chula Vista, CA 91913-1259 | 2008-07-12 |
| 1760657522 | Gendelman Optometry, Inc @ The Vision Store | Optometrist | 884 Eastlake Pkwy, Suite 1617, Chula Vista, CA 91914-4547 | 2008-04-23 |
| 1144409574 | Choice Vision Optometry, Inc | Optometrist | 2334 Proctor Valley Rd, 105, Chula Vista, CA 91914-6006 | 2007-11-01 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91915 |
Please comment or provide details below to improve the information on MARY MICHELLE KING.
| 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.