| Benjamin Franklin King Iv, OD | |
|
2880 Dauphin St, Mobile, AL 36606-2457 | |
| (251) 473-1900 | |
| (251) 470-8942 |
| Full Name | Benjamin Franklin King Iv |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 2880 Dauphin St, Mobile, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679566657 | NPI | - | NPPES |
| 2210143 | Other | AL | UNITED HEALTHCARE PROV # |
| 5795115 | Other | AL | AETNA PROVIDER # |
| 51034503 | Other | AL | BLUE CROSS PROVIDER # |
| U06205 | Other | AL | HEALTHSPRING PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | S539TA271 (Alabama) | Primary |
| Provider Name | Premier Health Management Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538154760 PECOS PAC ID: 6608869342 Enrollment ID: O20040407000654 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Franklin King Iv, OD 2880 Dauphin St, Mobile, AL 36606-2457 Ph: (251) 473-1900 | Benjamin Franklin King Iv, OD 2880 Dauphin St, Mobile, AL 36606-2457 Ph: (251) 473-1900 |
Eric P West, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1432 Hillcrest Rd, Mobile, AL 36695 Phone: 251-301-7620 Fax: 251-219-7835 | |
Dr. Mazen Naji Sahawneh, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6750 Airport Blvd Ste A, Mobile, AL 36608 Phone: 251-342-1223 | |
Dr. David P Duval, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4219 Cottage Hill Rd, Mobile, AL 36609 Phone: 215-666-5060 Fax: 215-666-5060 | |
Alabama Physicians Eyecare Group, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3653 Airport Blvd Ste C, Mobile, AL 36608 Phone: 251-295-9935 Fax: 251-295-9942 | |
The Visionary Optometrist Optometrist Medicare: Medicare Enrolled Practice Location: 9751 Airport Blvd Ste B, Mobile, AL 36608 Phone: 251-880-2020 | |
Mobile Bay Vision, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 Saint Joseph St, Mobile, AL 36602 Phone: 251-433-7717 Fax: 251-433-9384 | |
Gregory Robbe Jackson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2880 Dauphin St, Mobile, AL 36606 Phone: 251-473-1900 Fax: 251-470-8942 |