Jonathan Andrew King, OD | |
744 E 3rd St, Bloomington, IN 47405-3603 | |
(812) 855-8436 | |
Not Available |
Full Name | Jonathan Andrew King |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 3 Years |
Location | 744 E 3rd St, Bloomington, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033789763 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18004279A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Country Hills Eye Center | 4688629769 | 6 |
Provider Name | Country Hills Eye Center |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447460464 PECOS PAC ID: 4688629769 Enrollment ID: O20050322000564 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Andrew King, OD 744 E 3rd St, Bloomington, IN 47405-3603 Ph: () - | Jonathan Andrew King, OD 744 E 3rd St, Bloomington, IN 47405-3603 Ph: (812) 855-8436 |
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