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MARY MICHELLE KING O.D.
NPI 1578792107
Optometrist in Chula Vista, CA

Active since July 02, 2009PECOS EnrolledAccepts Medicare Assignment
1741 EASTLAKE PKWY STE 101, CHULA VISTA, CA 91915(619) 421-6600(619) 421-6006 Get Directions Write a Review

NPPES record last updated: July 4, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Michelle King O.d. NPPES

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

MARY MICHELLE KING O.D. (NPI 1578792107) is an individual optometrist in Chula Vista, California, licensed in California (13711) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2009).

NPPES Registry Identity

NPI1578792107
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMARY MICHELLE KINGCredential: O.D.
Location Address1741 EASTLAKE PKWY STE 101Chula Vista, CA 91915-2032
Mailing Address1741 Eastlake Pkwy Ste 101Chula Vista, CA 91915-2032 · (619) 421-6600 · Fax (619) 421-6006
Phone(619) 421-6600
Fax(619) 421-6006
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 2009
Enumeration DateJuly 2, 2009
Last NPPES UpdateJuly 4, 2009
✔ NPI 1578792107 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 CA · 13711
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.
1741 EASTLAKE PKWY STE 101, Chula Vista, CA 91915
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Mary Michelle 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 ID9234272956
PECOS Enrollment IDI20100203000671
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 91915 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 3

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

KEDDINGTON & KALRA OPTOMETRISTS APC
Optometrist
1741 EASTLAKE PKWY STE 101
CHULA VISTA, CA 91915
San Diego County (619) 421-6600
DR. JENNY YOOJIN KIM OD
Optometrist
1741 EASTLAKE PKWY STE 101
CHULA VISTA, CA 91915
San Diego County (619) 421-6600
THERESA NGUYEN OD
Optometrist
1741 EASTLAKE PKWY STE 101
CHULA VISTA, CA 91915
San Diego County (619) 421-6600

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 Mary King's NPI number?

The NPI number for Mary King is 1578792107. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Where is Mary King located?

Mary King practices at 1741 Eastlake Pkwy Ste 101, Chula Vista, CA 91915. The listed phone number is (619) 421-6600.

What is Mary King's specialty?

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

Is Mary King enrolled in Medicare?

Yes. Mary 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 Mary King accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Mary 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 Mary King was last updated on July 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.