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DR. JERRY LEE KING O.D.
NPI 1417020462
Optometrist in Longview, TX

Active since November 16, 2006PECOS Enrolled
103 W LOOP 281, STE 450, LONGVIEW, TX 75605(903) 663-2020(903) 663-2353 Get Directions Write a Review

NPPES record last updated: July 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry Lee King O.d. NPPES

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

DR. JERRY LEE KING O.D. (NPI 1417020462) is an individual optometrist in Longview, Texas, licensed in Texas (2926TG) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417020462
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JERRY LEE KINGCredential: O.D.
Location Address103 W LOOP 281, STE 450Longview, TX 75605-4653
Mailing Address103 W Loop 281, Suite 450Longview, TX 75605-4653 · (903) 663-2020 · Fax (903) 663-2353
Phone(903) 663-2020
Fax(903) 663-2353
Sole ProprietorYes
Enumeration DateNovember 16, 2006
Last NPPES UpdateJuly 23, 2008
✔ NPI 1417020462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 2926TG
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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
103 W LOOP 281, Longview, TX 75605
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Other Identifiers 3

Medicare UPINT14197
Medicaid093291502TX
Medicare PIN610251TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jerry Lee King O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75605 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 9

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

KEVIN JOHNS PT, ATC
Physical Therapist
103 W LOOP 281, SUITE 800
LONGVIEW, TX 75605
Gregg County (903) 315-5580
APRIL GATSON, MD
Family Medicine
103 W LOOP 281, SUITE 750
LONGVIEW, TX 75605
Gregg County (903) 663-2515
IFEANYI EMMANUEL ELUEZE MD PHD
Internal Medicine
103 W LOOP 281, SUITE 700
LONGVIEW, TX 75605
Gregg County (903) 315-5600
BRANDON WARD LAMBIE P.T.
Physical Therapist
103 W LOOP 281, SUITE 800
LONGVIEW, TX 75605
Gregg County (903) 315-5580
BOBBI JEAN DODGE PTA
Physical Therapy Assistant
103 W LOOP 281, SUITE 800
LONGVIEW, TX 75605
Gregg County (903) 315-5580
ORTHODONTIC CENTERS OF TEXAS
Dentist (Orthodontics and Dentofacial Orthopedics)
103 W LOOP 281, SUITE 462
LONGVIEW, TX 75605
Gregg County (903) 663-1177
BHH OF GREGG COUNTY AND REGION, LLC
Home Health
103 W LOOP 281, SUITE 440
LONGVIEW, TX 75605
Gregg County (903) 553-0056
MR. KYLE FITZGERALD LYBARGER MPT
Physical Therapist
103 W LOOP 281
LONGVIEW, TX 75605
Gregg County (903) 315-5580

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 Jerry King's NPI number?

The NPI number for Jerry King is 1417020462. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Jerry King located?

Jerry King practices at 103 W Loop 281 Ste 450, Longview, TX 75605. The listed phone number is (903) 663-2020.

What is Jerry King's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jerry King enrolled in Medicare?

Yes. Jerry King is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerry King was last updated on July 23, 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.