Jerry D King (NPI# 1346205689, PAC ID# 4981778099) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1346205689 |
| PAC ID by PECOS | 4981778099 |
| Professional Enrollment ID | I20080807000566 |
| Full Name | Jerry D King |
| Organization Legal Name | ELDON FAMILY FOCUS EYECARE LLC |
| Address |
115 N Oak St Eldon MO 65026-1444 |
| Phone Number | 5733927126 |
| Gender | M |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1978 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9537496385 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 115 N Oak St, Eldon, MO 65026-1444 | 5733927126 | ELDON FAMILY FOCUS EYECARE LLC |
| Organization Legal Name | ELDON FAMILY FOCUS EYECARE LLC |
| Physicians | 1 |
| Street Address |
115 N OAK ST |
| City | ELDON |
| State | MO |
| Zip | 65026-1444 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zubair A Khan | Cardiovascular Disease (cardiology) | Lake Regional Medical Management, Inc. | 416 S Maple C, Lake Regional Clinic Eldon, Eldon, MO 65026-1808 |
| Manuel Mendez | Clinical Social Worker | Compass Health Inc | 206 S Mill St, Eldon, MO 65026-1864 |
| Josetta E Wahwassuck | Nurse Practitioner | Compass Health Inc | 206 S Mill St, Eldon, MO 65026-1864 |
| Lynn Marty | Nurse Practitioner | Capital Region Medical Center | 103 N Hwy 54, Capital Region Med Clinic Eldon, Eldon, MO 65026-2005 |
| Michael Griswold | Family Medicine | Capital Region Medical Center | 103 N Hwy 54 E, Capital Region Physicians, Eldon, MO 65026-2005 |
| David S Carron | Podiatry | 103 N Business, Suite 54, Eldon, MO 65026-2005 |
| City | ELDON |
| Zip Code | 65026 |
| Specialty | OPTOMETRY |
| City + Specialty | ELDON + OPTOMETRY |
Please comment or provide details below to improve the information on Jerry D King.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.