Provider / Organization | NPI | Date Certified |
---|---|---|
LAWRENCE ALLEN KING | 1568024230 | 2020-06-28 |
Lawrence A King [M] graduated in 2019 from University Of Houston - College Of Optometry and primarily specializes in Optometry.
Lawrence Allen King is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1568024230. Registration indicates Lawrence Allen King is a provider of access to ophthalmic care services with a specialization in Eye & Vision Services Providers, Optometrist (Eye and Vision Services Providers, Optometrist) (Optometrist, ) (Vision/Audiology, ) (Optometrist, Eye and Vision Services Providers)
PECOS ID | 2567894819 |
Registration | PART-B:Y DME:Y HHA:Y PMD:N |
Entity Type | Individual |
Provider Name | Dr. Lawrence Allen King Iii OD |
Practice Office Address | 4300 ROGERS AVE STE 46 FORT SMITH, AR US |
Practice Office Telephone | 4797850010 |
Practice Office Fax | 4797838478 |
Mailing Address | 4300 ROGERS AVE STE 46 FORT SMITH, AR 729033152 US |
Business Telephone | 4797850010 |
Business Fax | 4797838478 |
Code | Practice | License No State |
---|---|---|
152W00000X PRIMARY | Access to Ophthalmic Care Eye & Vision Services Providers Optometrist Eye and Vision Services Providers Optometrist Optometrist Vision/Audiology Optometrist Eye and Vision Services Providers | 2803
AR |