DR. KENNETH BRIAN KING


Address: 4501 Heritage Trace Pkwy Ste 121, Fort Worth, TX 76244
Phone: 8174422020

DR. KENNETH BRIAN KING (NPI# 1750469680) 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) 1750469680
Entity Type Individual
Full Name DR. KENNETH BRIAN KING
Credential OD
Practice Address 4501 Heritage Trace Pkwy Ste 121
Fort Worth
TX 76244
Mailing Address 4501 Heritage Trace Pkwy Ste 121
Fort Worth
TX 76244-8940
Practice Telephone 8174422020
Practice Fax Number 6824993856
Mailing Telephone 8174422020
Mailing Fax Number 6824993856
Enumeration Date 2006-11-01
Last Update Date 2018-06-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 152W00000X Optometrist OPT 12053 CA Eye and Vision Services Providers
Y 152W00000X Optometrist 04669T TX Eye and Vision Services Providers
N 152W00000X Optometrist 4421/T996 OH Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0959922 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
3631 Brookwall Dr, B-103, Fairlawn, OH 443333098 3306661766 3306709662

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
1568434843 Kenneth B King Internal Medicine 500 George Mcclain Drive, Benton, KY 42025 2006-02-02
1174524722 Kenneth William King Jr. Optometrist 1480 E Lincoln Rd, Idaho Falls, ID 83401-2128 2005-08-04
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 4501 HERITAGE TRACE PKWY STE 121
City FORT WORTH
State TX
Zip Code 76244

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538773510 Aum Nitin Patel Optometrist 12584 N Beach Street #122, Keller, TX 76244 2020-09-07
1477178374 Trinity Spine and Orthopedics, Pllc Orthopaedic Surgery 4444 Heritage Trace, Suite 408, Keller, TX 76244 2020-06-16
1235778622 Hope Family Healthcare LLC Nurse Practitioner 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 2020-01-02
1104468917 Kylie Ann Montgomery Behavior Technician 12650 N Beach St Suite 146, Fort Worth, TX 76244 2019-10-14
1376193433 Ntkc - Dfw, Pllc Internal Medicine 10700 Victoria Ash Dr., Keller, TX 76244 2019-09-19
1629628532 Today Dental of Saginaw Pllc Dentist 1628 Basswood Blvd, Fort Worth, TX 76244 2019-09-13
1962050492 Precision Ambulatory Surgery Center, LLC Ophthalmology 9439 North Beach Street, Fort Worth, TX 76244 2019-08-28
1770145351 Texas Health Spine Surgery Center Alliance LLC Clinic/Center 10900 Founders Way, Suite 100, Fort Worth, TX 76244 2019-07-03
1770048720 Robin Jansen Occupational Therapy Assistant 4317 Oak Chase Dr, Keller, TX 76244 2019-02-04
1033687256 Marian Abibatu James Nurse Practitioner 4516 Jaylin St, Keller, TX 76244 2018-11-06
Find all providers in zip 76244

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841805645 Mary Kathryn Walters Optometrist 655 Taylor Street, Fort Worth, TX 76102-4821 2020-09-09
1053920546 Christa Marie Widjaja Optometrist 1700 Montgomery St, Fort Worth, TX 76107 2020-07-30
1275168403 National Vision Inc Optometrist 5609 Sierra Springs Ln, Fort Worth, TX 76123-2183 2020-03-09
1659933125 Robert Xiang Li Optometrist 3524 Highway 114 Ste 300, Fort Worth, TX 76177-2197 2019-07-03
1134781792 Daniel Max & Marcandrea LLC Optometrist 4619 S Hulen St, Suite C, Fort Worth, TX 76132 2019-07-03
1144782889 Daniel Max & Marcandrea LLC Optometrist 8901 N. Freeway Service Rd E, Ste 105, Fort Worth, TX 76177 2019-04-02
1053879569 Daniel Max & Marcandrea LLC Optometrist 501 Alta Mere Dr Ste 1021, Fort Worth, TX 76114-4014 2019-03-05
1083179600 Joseph Khang Vu Optometrist 4800 S Hulen St Ste 147, Fort Worth, TX 76132-1415 2019-02-07
1477030567 Brandon Ronald Lee Optometrist 2644 E Berry St., Fort Worth, TX 76105 2018-07-23
1932685682 Jennifer Marie Wiernas Optometrist 6333 Camp Bowie Blvd Ste 272, Fort Worth, TX 76116-5444 2018-07-16
Find all providers in FORT WORTH

Competitor

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City FORT WORTH
Zip Code 76244

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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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