Dr Jerry D King, OD is a
Optometrist based in Eldon, Missouri. Dr Jerry D King is licensed to practice in Missouri (license number TO2349) and his current practice location is
115 N Oak St, Eldon, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 392-7126.
NPI number for Dr Jerry D King is 1346205689 and his current mailing address is 115 N Oak St, Eldon, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346205689.
Healthcare Provider's Profile
| Full Name | Dr Jerry D King |
|---|
| Gender | Male |
|---|
| Speciality | Optometrist |
|---|
| Location | 115 N Oak St, Eldon, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1346205689
- Provider Enumeration Date: 04/19/2006
- Last Update Date: 07/07/2008
Medical Identifiers
Medical identifiers for Dr Jerry D King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346205689 | NPI | - | NPPES |
| 310039805 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | TO2349 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jerry D King is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jerry D King, OD
115 N Oak St,
Eldon, MO 65026-1444
Ph: (573) 392-7126 | Dr Jerry D King, OD
115 N Oak St,
Eldon, MO 65026-1444
Ph: (573) 392-7126 |
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