Jerry Lee King is a Optometrist in Longview, Texas. Jerry Lee King practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jerry Lee King is 1417020462. The last update date is 2008-07-23.
Jerry Lee King's current location address is 103 W Loop 281, Longview, Texas. You can contact this provider via phone number 9036632020 and fax number 9036632353. The mailing address for Jerry Lee King is 103 W Loop 281, Longview, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Lee King |
|---|---|
| Address | 103 W Loop 281, Longview, Texas |
| Phone Number | 9036632020 |
| Fax Number | 9036632353 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1417020462 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2008-07-23 |
Provider Mailing Address Detail
| Address | 103 W Loop 281 |
|---|---|
| City | Longview |
| State | Texas (TX) |
| Post Code | 756054653 |
| Phone Number | 9036632020 |
| Fax Number | 9036632353 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2926TG |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 93291502 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jerry Lee King?
The Jerry Lee King has been issued the NPI (National Provider Identifier) 1417020462 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jerry Lee King?
The Jerry Lee King is physically situated at 103 W Loop 281, in the city of Longview, state of TX, with the postal code 756054653.
What is Jerry Lee King's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jerry Lee King is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.
When did Jerry Lee King receive its 1417020462 assignment?
The Jerry Lee King was assigned its 1417020462 on 2006-11-16, which is the date when this unique identifier was issued to the organization.
When was the Jerry Lee King's information last updated?
The Jerry Lee King's information was last updated on 2008-07-23.
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