1. Home
  2. Directory
  3. Rhode Island
  4. Providence
  5. Ophthalmology
  6. NPI Profile

KING WAI TO M.D.
NPI 1174670806
Ophthalmology in Providence, RI

Active since January 04, 2007PECOS EnrolledAccepts Medicare Assignment
ONE HOPPIN STREET, SUITE 202, PROVIDENCE, RI 02903(401) 831-4592(401) 831-4643 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About King Wai To M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KING WAI TO M.D. (NPI 1174670806) is an individual ophthalmology provider in Providence, Rhode Island, licensed in Rhode Island (7985) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (1986).

NPPES Registry Identity

NPI1174670806
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKING WAI TOCredential: M.D.
Location AddressONE HOPPIN STREET, SUITE 202Providence, RI 02903-4141
Mailing AddressOne Hoppin Street, Suite 202Providence, PR 02903-4141 · (401) 831-4592 · Fax (401) 831-4643
Phone(401) 831-4592
Fax(401) 831-4643
Sole ProprietorYes
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1986
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJune 12, 2008
✔ NPI 1174670806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in RI · 7985
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
ONE HOPPIN STREET, Providence, RI 02903
Open in Google Maps ↗

Other Identifiers 8

Other20082RI · Bcbs Of Ri
Other15679RIHRI · Harvard Pilgrim Healthcare
Medicare PIN119020082RI
Other2503RI · Neighborhood Health Plan Of Ri
Medicaid9020082RI
Other203904RI · Bcbs - Blue Chip
Medicare UPINF-14290RI
Other180022235RI · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

King Wai To M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173658770
PECOS Enrollment IDI20100322000610
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show King To reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifespan Physician Group, Inc.
0.3 mi
General Practice
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 1,372 clinicians in this Medicare group
NPI 1407116643 (401) 444-6779

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
435 services424 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
323 services260 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
195 services153 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
53 services51 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
50 services47 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
46 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARJORIE A. MURPHY M.D.
Ophthalmology
ONE HOPPIN STREET, SUITE 202
PROVIDENCE, RI 02903
Providence County (401) 831-4592

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is King To's NPI number?

The NPI number for King To is 1174670806. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is King To located?

King To practices at One Hoppin Street Suite 202, Providence, RI 02903. The listed phone number is (401) 831-4592.

What is King To's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is King To enrolled in Medicare?

Yes. King To is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for King To's services?

According to the CMS Revalidation Reassignment List (October 2026 release), King To reassigns Medicare benefits to Lifespan Physician Group, Inc. (Providence, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for King To's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does King To accept?

Health plans from BlueCross BlueShield of Tennessee list King To as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for King To was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.