SHANE PATRICK KING O.D.
NPI 1528075116
Optometrist in Flint, MI

Q: What is Shane King's NPI number?

The NPI number for Shane King is 1528075116. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Q: What is Shane King's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shane King was last updated on December 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment

523 M L KING AVE, FLINT, MI 48502(810) 238-0925 Get Directions Write a Review

NPPES record last updated: December 17, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shane Patrick King O.d. NPPES

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

SHANE PATRICK KING O.D. (NPI 1528075116) is an individual optometrist in Flint, Michigan, licensed in Michigan (4901004228) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1528075116

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameSHANE PATRICK KINGCredential: O.D.

Location Address523 M L KING AVEFlint, MI 48502-2002

Mailing Address2679 Reynolds CirColumbiaville, MI 48421-8935

Phone(810) 238-0925

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateAugust 3, 2006

Last NPPES UpdateDecember 17, 2009

✔ NPI 1528075116 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 MI · 4901004228

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.

523 M L KING AVE, Flint, MI 48502

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Other Identifiers 4

Other4901004228MI · License Number

Medicare UPINU99520MI

Medicare NSC4922670001MI

Medicare PIN0N64360004MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shane Patrick King O.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 ID3476535964

PECOS Enrollment IDI20040607001394

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.

Areas of Expertise CMS Part B claims 2

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.

59 services59 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48502 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

DR. DAVID MATTHEW TYKOCKI O.D.

Optometrist

523 M L KING AVE
FLINT, MI 48502

Genesee County (810) 238-0925

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 Shane King's NPI number?

The NPI number for Shane King is 1528075116. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Shane King located?

Shane King practices at 523 M L King Ave, Flint, MI 48502. The listed phone number is (810) 238-0925.

What is Shane King's specialty?

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

Is Shane King enrolled in Medicare?

Yes. Shane King 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.

What insurance does Shane King accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Blue Cross and Blue Shield of Montana and 5 other insurers list Shane King 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 Shane King was last updated on December 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.