| Shane Patrick King, OD | |
|
523 M L King Ave, Flint, MI 48502-2002 | |
| (810) 238-0925 | |
| Not Available |
| Full Name | Shane Patrick King |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 21 Years |
| Location | 523 M L King Ave, Flint, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528075116 | NPI | - | NPPES |
| 4901004228 | Other | MI | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4901004228 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lapeer County Eye Associates Inc | 6103807169 | 6 |
| Provider Name | Lapeer County Eye Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235311200 PECOS PAC ID: 6103807169 Enrollment ID: O20040526000317 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane Patrick King, OD 2679 Reynolds Cir, Columbiaville, MI 48421-8935 Ph: () - | Shane Patrick King, OD 523 M L King Ave, Flint, MI 48502-2002 Ph: (810) 238-0925 |
Deborah Ann Sheere-gallatin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4499 Town Center Pkwy, Flint, MI 48532 Phone: 810-733-7111 Fax: 810-733-7141 | |
Mr. Richard D Frazier Jr., OD Optometrist Medicare: Medicare Enrolled Practice Location: 5096 Corunna Rd, Flint, MI 48532 Phone: 810-733-6460 Fax: 810-733-5443 | |
Bradley E Habermehl Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 4091 Richfield Rd, Flint, MI 48506 Phone: 810-736-0710 Fax: 810-736-2713 | |
Dr. Estefany Colon Lopez, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4313 Corunna Rd, Flint, MI 48532 Phone: 810-733-5544 Fax: 810-733-3197 | |
Michigan Eye Institute Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4499 Town Center Pkwy, Flint, MI 48532 Phone: 810-733-7111 Fax: 810-733-7141 | |
Kelly C-k Tierney, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4281 Lennon Rd, Flint, MI 48507 Phone: 810-720-9111 Fax: 810-720-9119 | |
Jennifer J. S. Risting, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4499 Town Center Pkwy, Flint, MI 48532 Phone: 810-733-7111 |