1. Home
  2. Directory
  3. Texas
  4. Nacogdoches
  5. Optometrist
  6. NPI Profile

KING VISION LLC
NPI 1780243097
Optometrist in Nacogdoches, TX

Active since June 10, 2019CLIA 45D2214395 · Waiver
4810 NORTH ST, NACOGDOCHES, TX 75965(954) 261-1026 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 27, 2019, Jun 10, 2019 (2 updates tracked since 2019).

About King Vision Llc NPPES

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

KING VISION LLC (NPI 1780243097) is a healthcare organization registered as an optometrist in Nacogdoches, Texas and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Jacqueline Lashawn Pierre, Founder/optometerist, as its authorized official.

NPPES Registry Identity

NPI1780243097
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKING VISION LLC
Location Address4810 NORTH STNacogdoches, TX 75965-1876
Mailing Address2304 Carole StNacogdoches, TX 75965-2267 · (954) 261-1026 · Fax (936) 398-6912
Phone(954) 261-1026
Organization SubpartNo
Authorized OfficialJacqueline Lashawn PierreFounder/optometerist · (936) 569-2015
Enumeration DateJune 10, 2019
Last NPPES UpdateAugust 27, 20242 updates tracked since enumeration
NPPES CertifiedAugust 27, 2024
✔ NPI 1780243097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
4810 NORTH ST, Nacogdoches, TX 75965
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2214395

King Vision LLC · Nacogdoches, TX
Active · expires Feb 21, 2027
CLIA Number45D2214395
Laboratory TypeOptometrist
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorJacqueline L. Pierre
Laboratory Phone(954) 261-1026
Laboratory LocationKing Vision LLC4810 North Street, Nacogdoches, TX 75965
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DR. CHELSEA MICHELLE CULPEPPER PHARMD
Pharmacist
4810 NORTH ST
NACOGDOCHES, TX 75965
Nacogdoches County (936) 564-1158
WAL-MART STORES TEXAS, LP
Eyewear Supplier
4810 NORTH ST
NACOGDOCHES, TX 75965
Nacogdoches County (936) 560-6969
RALPH DONALD BALLARD RPH
Pharmacist
4810 NORTH ST
NACOGDOCHES, TX 75965
Nacogdoches County (936) 564-1158
DONALD RAYMOND MOORE PHARM. D
Pharmacist (Ambulatory Care)
4810 NORTH ST
NACOGDOCHES, TX 75965
Nacogdoches County (936) 564-1158
WAL-MART STORES TEXAS LLC
Pharmacy (Community/Retail Pharmacy)
4810 NORTH ST
NACOGDOCHES, TX 75965
Nacogdoches County (936) 564-1158
DR. JACQUELINE LA-SHAWN PIERRE OD
Optometrist
4810 NORTH ST
NACOGDOCHES, TX 75965
Nacogdoches County (936) 569-2015

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 Vision LLC's NPI number?

The NPI number for King Vision LLC is 1780243097. It was assigned to this organization in the NPPES registry on June 10, 2019.

Where is King Vision LLC located?

King Vision LLC is located at 4810 North St, Nacogdoches, TX 75965. The listed phone number is (954) 261-1026.

What is King Vision LLC's specialty?

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

Does King Vision LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2214395) is associated with this NPI, valid through February 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does King Vision LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list King Vision LLC 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 Vision LLC was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.