| Dr. Gary E. King Optometrist Psc | |
|
109 Boone St Berea KY 40403-1603 | |
| (859) 986-7027 | |
| (859) 986-4749 |
| Full Name | Dr. Gary E. King Optometrist Psc |
|---|---|
| Speciality | Clinic/Center |
| Location | 109 Boone St, Berea, Kentucky |
| Authorized Official Name and Position | Gary E King (OWNER) |
| Authorized Official Contact | 8599867027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Gary E. King Optometrist Psc 109 Boone St Berea KY 40403-1603 Ph: (859) 986-7027 | Dr. Gary E. King Optometrist Psc 109 Boone St Berea KY 40403-1603 Ph: (859) 986-7027 |
| NPI Number | 1588819080 |
|---|---|
| Provider Enumeration Date | 11/25/2008 |
| Last Update Date | 04/03/2013 |
| Medicare PECOS PAC ID | 8628138229 |
|---|---|
| Medicare Enrollment ID | O20081126000246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588819080 | NPI | - | NPPES |
| 77008654 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Gary E King |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336229715 PECOS PAC ID: 7113931734 Enrollment ID: I20060202000392 |
| Provider Name | Ashley B Lane |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760612527 PECOS PAC ID: 6002962891 Enrollment ID: I20090921000054 |
| Provider Name | Sarah Kaitlin King |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447505532 PECOS PAC ID: 2264689298 Enrollment ID: I20120828000082 |
| Provider Name | Kevin A Skidmore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093060188 PECOS PAC ID: 7416190285 Enrollment ID: I20130826000919 |
| Provider Name | Taylor L Waggoner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447764535 PECOS PAC ID: 7719237734 Enrollment ID: I20180912000679 |
White House Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 104 Legacy Dr, Berea, KY 40403 Phone: 859-986-2323 Fax: 859-986-7728 | |
Berea Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Estill St, Berea, KY 40403 Phone: 859-986-3151 | |
Department Of Veterans Affairs Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 Pauline Dr, Berea, KY 40403 Phone: 859-233-4511 Fax: 859-986-1289 | |
Faith Dental Of Berea Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Richmond Rd N, Berea, KY 40403 Phone: 859-986-8491 | |
Berea Walk-in Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 245 Prince Royal Dr, Suite A, Berea, KY 40403 Phone: 859-582-7663 Fax: 859-335-1560 | |
Berea Health Ministry, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Estill Street, Berea, KY 40403 Phone: 859-986-1274 Fax: 859-986-1279 | |
Everside Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Mayde Rd, Berea, KY 40403 Phone: 859-986-2359 |