Active NPIIndividual provider

Jessica King, OD

Optometrist in South Windsor, Connecticut

NPI Number1992157333
Practice location
93 Evergreen Way, South Windsor, CT 06074-6975
Fax
—
Last updated
January 18, 2022

Jessica King is an Optometrist based in South Windsor, CT. Jessica King practices in South Windsor, CT and has the professional credentials of OD. The NPI Number for Jessica King is 1992157333 and holds a License No. 2993 (CT). The current practice location address for Jessica King is 93 Evergreen Way, South Windsor, CT 06074-6975 and can be reached out via phone at 860-644-4362.

Provider Profile Details

NPI Number
1992157333
Provider Name
Jessica King
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
93 Evergreen Way, South Windsor, CT 06074-6975
Phone Number
860-644-4362
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
July 11, 2016
Last Update Date
January 18, 2022
Certification Date
January 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
93 Evergreen Way
South Windsor, CT 06074-6975
Zip
06074-6975
Phone Number
860-644-4362
South Windsor, CT 06074Get directions →

Provider Business Mailing Address Details

Address
184 Market Dr
Athol, MA 01331-9829
City
Athol
State
MA
Zip
01331-9829
Phone Number
978-939-3128
Fax Number
978-650-2090

License Information

License Number
2993
License State
CT
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica King, OD?

The NPI number of Jessica King, OD is 1992157333. It was assigned on July 11, 2016 and is currently active in the NPPES registry.

What is the specialty of Jessica King, OD?

Jessica King, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in CT under license number 2993.

Where does Jessica King, OD practice?

The practice location is 93 Evergreen Way, South Windsor, CT 06074-6975. The office can be reached at 860-644-4362 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992157333 directly on the NPPES registry website.

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