Jerry L King (NPI# 1417020462, PAC ID# 9335132208) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1417020462 |
| PAC ID by PECOS | 9335132208 |
| Professional Enrollment ID | I20040406001213 |
| Full Name | Jerry L King |
| Address |
2121 Hwy 79 S Henderson TX 75654 |
| Phone Number | 9036572020 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 1981 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2121 Hwy 79 S, Henderson, TX 75654 | 9036572020 |
| Street Address |
2121 HWY 79 S |
| City | HENDERSON |
| State | TX |
| Zip | 75654 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David L Mcdonald | Optometry | 1787 Hwy 79 S, Henderson, TX 75654 | |
| Barbara A Mcdonald | Optometry | Henderson Eye Association, Inc | 1787 Hwy 79 S, Henderson, TX 75654 |
| Robin T Watson | Nurse Practitioner | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Lacee G Pierce | Nurse Practitioner | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Patricia Ann Watts | Physician Assistant | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Adam Rance Corley | Emergency Medicine | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Judith Sutherland | Clinical Social Worker | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Brenda S Fountain | Nurse Practitioner | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Brooke S Martin | Nurse Practitioner | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Amberly H Hopson | Nurse Practitioner | Mt Enterprise Community Health Clinic | 1115 Hwy 259 S, Henderon, TX 75654-3629 |
| Find all physicians in zip 75654 | |||
| City | HENDERSON |
| Zip Code | 75654 |
| Specialty | OPTOMETRY |
| City + Specialty | HENDERSON + OPTOMETRY |
Please comment or provide details below to improve the information on Jerry L 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.