| Dr Kenneth William King Jr, OD | |
|
1480 E Lincoln Rd, Idaho Falls, ID 83401-2128 | |
| (208) 525-8686 | |
| (208) 525-8684 |
| Full Name | Dr Kenneth William King Jr |
|---|---|
| Gender | Male |
| Speciality | Optometrist - Corneal And Contact Management |
| Location | 1480 E Lincoln Rd, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174524722 | NPI | - | NPPES |
| I-902428 | Other | CHAMPUS | |
| 0605250001 | Other | DMERC | |
| 82052 | Other | ID | BLUE SHIELD |
| 002543100 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | ODP0467 (Idaho) | Primary |
| Provider Name | For Your Eyes Only, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407148109 PECOS PAC ID: 7719165828 Enrollment ID: O20110620000458 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth William King Jr, OD 1480 E Lincoln Rd, Idaho Falls, ID 83401-2128 Ph: (208) 525-8686 | Dr Kenneth William King Jr, OD 1480 E Lincoln Rd, Idaho Falls, ID 83401-2128 Ph: (208) 525-8686 |
Parkway Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 320 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-524-4552 Fax: 208-524-4559 | |
Dr. Leon C Peterson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 501 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-522-6271 Fax: 208-522-7217 | |
Bonneville Vision, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 838 S Woodruff Ave, Idaho Falls, ID 83401 Phone: 208-523-3937 | |
Jones Eye Care, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 2300 E 17th St Spc 157, Idaho Falls, ID 83404 Phone: 208-552-3355 Fax: 208-552-6120 | |
Westside Eyecare Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1689 Pancheri Dr, Idaho Falls, ID 83402 Phone: 208-529-4333 Fax: 208-529-4366 | |
Dr. Golden Thane Smith, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 S Utah Ave, Idaho Falls, ID 83402 Phone: 208-528-8643 | |
Associated Westside Optometric Clinic P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1991 W Broadway St Ste 2, Idaho Falls, ID 83402 Phone: 208-529-4333 |