DR. PHILLIP LEE KING JR. (NPI# 1780709279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780709279 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP LEE KING JR. |
| Credential | OD |
| Practice Address |
11228 Hwy 63s Lucedale MS 39452 |
| Mailing Address |
3429 North 5th St Ocean Springs MS 39564 |
| Practice Telephone | 6017663800 |
| Practice Fax Number | 6019472709 |
| Mailing Telephone | 6017663800 |
| Mailing Fax Number | 6019472709 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 683 | MS | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063972099 | Phillip King | Occupational Therapist | 225 Sunbridge Dr., Salem, WV 26426 | 2019-03-25 |
| 1528417284 | Phillip King Jr. | Behavioral Analyst | 31 Lamour Ln, Palm Coast, FL 32137-9616 | 2016-06-03 |
| 1801144977 | Phillip Eugene King | Family Medicine | 418 Lakeside Dr, Liberty, MO 64068-3440 | 2012-08-21 |
| 1649621103 | Phillip King | Internal Medicine | 1 Barnes Jewish Hospital Plaza, Saint Louis, MO 63110 | 2016-06-27 |
| 1710961552 | Phillip M King | Internal Medicine | 355 Abbott St, 100, Salinas, CA 93901-4483 | 2005-12-05 |
| Street Address |
11228 HWY 63S |
| City | LUCEDALE |
| State | MS |
| Zip Code | 39452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033420609 | Jennifer K. Walker | Massage Therapist | 352 Oak Street, Lucedale, MS 39452 | 2010-06-29 |
| 1780827543 | David J.conner D.d.s. | Dentist | 17215 Hwy 26, Lucedale, MS 39452 | 2009-04-09 |
| 1285873042 | Rebecca Graves | Nurse Practitioner | 92 W Ratliff St, Lucedale, MS 39452 | 2009-02-18 |
| 1639381791 | George County School District | Registered Nurse | Rocky Creek Elementary, 2183 Rocky Creek Road, Lucedale, MS 39452 | 2007-05-03 |
| 1386856425 | George County School District | Registered Nurse | Central Elementary School, 14159 Hwy 26 West, Lucedale, MS 39452 | 2007-05-03 |
| 1730301961 | George County School District | Registered Nurse | Agricola Elementary School, 6165 Hwy 613, Lucedale, MS 39452 | 2007-05-03 |
| 1932311156 | George County School District | Registered Nurse | Lucedale Elementary School, 689 Church Street, Lucedale, MS 39452 | 2007-05-03 |
| 1295947471 | George County School District | Registered Nurse | George County Middle School, 330 Church Street, Lucedale, MS 39452 | 2007-05-03 |
| 1952522583 | David J. Conner | Dentist | 17215 Highway 26 W, Lucedale, MS 39452 | 2007-05-01 |
| 1225258676 | Keith A Brown | Dentist | 16 Plaza Drive, Lucedale, MS 39452 | 2007-04-26 |
| Find all providers in zip 39452 | ||||
| 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 |
|---|---|---|---|---|
| 1174749345 | Eye Care Center | Optometrist | 852 Winter St, Lucedale, MS 39452-5726 | 2007-04-17 |
| 1487779971 | King Eye Associates Inc | Optometrist | 11228 Hwy 63 S, Lucedale, MS 39452 | 2007-03-21 |
| 1871653873 | Leslie Helen Valentine | Optometrist | 852 Winter Street, Lucedale, MS 39452 | 2006-12-11 |
| 1891810396 | Dannette Newman King | Optometrist | 11228 Hwy 63 S, Lucedale, MS 39452 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386252609 | Primary Eyecare South LLC | Optometrist | 1217 S Frontage Rd Ste E, Meridian, MS 39301-6124 | 2020-07-22 |
| 1497371306 | Premier Eye Care, Pllc | Optometrist | 940 W Commerce St, Aberdeen, MS 39730-2337 | 2020-06-17 |
| 1902430937 | Dr Elizabeth M Darby Optometrist Pllc | Optometrist | 504 Easel St, Taylor, MS 38673 | 2020-02-28 |
| 1699320929 | Channing F Bucklew | Optometrist | 3090 N Church Ave, Louisville, MS 39339-6349 | 2019-08-05 |
| 1083266498 | Royce Vandiver Miles Jr. | Optometrist | 521 Deerfield Dr, Forest, MS 39074-6006 | 2019-07-15 |
| 1952965022 | Byhalia Vision Center LLC | Optometrist | 8250 Hwy 178 West, Byhalia, MS 38611-6776 | 2019-04-24 |
| 1770044497 | Tri County Eye Clinic, Pllc | Optometrist | 3430 Bienville Boulevard, Ocean Springs, MS 39564-5732 | 2019-03-26 |
| 1508351628 | Hilarie Nixon Holt | Optometrist | 301 Northlake Ave Ste 101, Ridgeland, MS 39157-1720 | 2018-06-30 |
| 1770097883 | Keeping Focus LLC. | Optometrist | 4223 I-20 Frontage Rd Apt J18, Vicksburg, MS 39183-3533 | 2017-11-28 |
| 1386168730 | Nettie Hines | Optometrist | 1006 Treetops Blvd Ste 105, Flowood, MS 39232-7645 | 2017-07-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. PHILLIP LEE KING JR..
| 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.