MICHELLE KING OD INC A PROFESSIONAL CORPORATION
NPI 1609180603
Optometrist in Poway, CA

Active since August 02, 2010
14757 POMERADO RD, POWAY, CA 92064(858) 842-3006(858) 842-3005 Get Directions Write a Review

NPPES record last updated: February 20, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michelle King Od Inc A Professional Corporation NPPES

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

MICHELLE KING OD INC A PROFESSIONAL CORPORATION (NPI 1609180603) is a healthcare organization registered as an optometrist in Poway, California and active in the NPI registry since August 2010. The organization lists Mary Michelle King, President, as its authorized official.

NPPES Registry Identity

NPI1609180603
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMICHELLE KING OD INC A PROFESSIONAL CORPORATION
Location Address14757 POMERADO RDPoway, CA 92064-2802
Mailing Address14757 Pomerado RdPoway, CA 92064-2802 · (858) 842-3006 · Fax (858) 842-3005
Fax(858) 842-3005
Organization SubpartNo
Authorized OfficialMary Michelle KingPresident · (858) 842-3006
Enumeration DateAugust 2, 2010
Last NPPES UpdateFebruary 20, 2015
✔ NPI 1609180603 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.
14757 POMERADO RD, Poway, CA 92064

Other Identifiers 1

Medicare PINEP676ACA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michelle King Od Inc A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Michelle King Od Inc A Professional Corporation, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (14)

Optometry
NPI 1720699432
10994 W OCEAN AIR DR APT 286
San Diego, CA 92130
(626) 277-6476
✔ PECOS✔ Accepts Medicare11 mi
Optometry
NPI 1851827034
5075 RUFFIN RD STE B
San Diego, CA 92123
(858) 278-4720
✔ PECOS✔ Accepts Medicare11 mi
Optometry
NPI 1467139287
3350 LA JOLLA VILLAGE DR
San Diego, CA 92161
(858) 552-8585
✔ PECOS12 mi
Optometry
NPI 1457928558
4240 KEARNY MESA RD STE 101
San Diego, CA 92111
(858) 565-1001
✔ PECOS12 mi
Optometry
NPI 1538362116
477 N EL CAMINO REAL STE C202
Encinitas, CA 92024
(760) 631-3500
✔ PECOS✔ Accepts Medicare13 mi
Optometry
NPI 1689390833
2907 JAMACHA RD STE A
El Cajon, CA 92019
(619) 660-0272
✔ PECOS✔ Accepts Medicare18 mi
Optometry
NPI 1346874971
687 SWEETWATER RD
Spring Valley, CA 91977
(619) 466-9444
✔ PECOS✔ Accepts Medicare19 mi
Optometry
NPI 1487209268
1481 E PLAZA BLVD
National City, CA 91950
(619) 477-2159
✔ PECOS✔ Accepts Medicare21 mi
Optometry
NPI 1568155190
2100 VISTA WAY
Oceanside, CA 92054
(760) 966-0026
✔ PECOS21 mi
Optometry
NPI 1740701481
251 LANDIS AVE
Chula Vista, CA 91910
(619) 515-2500
✔ PECOS✔ Accepts Medicare23 mi
Optometry
NPI 1497588362
1741 EASTLAKE PKWY STE 101
Chula Vista, CA 91915
(619) 421-6600
✔ PECOS26 mi
Optometry
NPI 1609555713
1741 EASTLAKE PKWY STE 101
Chula Vista, CA 91915
(619) 421-6600
✔ PECOS26 mi
Optometry
NPI 1578792107
1741 EASTLAKE PKWY STE 101
Chula Vista, CA 91915
(619) 421-6600
✔ PECOS✔ Accepts Medicare26 mi
Optometry
NPI 1881322592
25485 MEDICAL CENTER DR STE 212
Murrieta, CA 92562
(951) 696-4129
✔ PECOS✔ Accepts Medicare40 mi

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

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 Michelle King Od Inc A Professional Corporation's NPI number?

The NPI number for Michelle King Od Inc A Professional Corporation is 1609180603. It was assigned to this organization in the NPPES registry on August 2, 2010.

Where is Michelle King Od Inc A Professional Corporation located?

Michelle King Od Inc A Professional Corporation is located at 14757 Pomerado Rd, Poway, CA 92064. The listed phone number is (858) 842-3006.

What is Michelle King Od Inc A Professional Corporation's specialty?

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

Is Michelle King Od Inc A Professional Corporation enrolled in Medicare?

Yes. Michelle King Od Inc A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michelle King Od Inc A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians, all in Optometry, reassign their Medicare billing to Michelle King Od Inc A Professional Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Michelle King Od Inc A Professional Corporation accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list Michelle King Od Inc A Professional Corporation 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 Michelle King Od Inc A Professional Corporation was last updated on February 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.