JESSICA KING (O.D.) – Optometrist, NPI 1992157333

JESSICA KING (O.D.) is a healthcare provider. based in South windsor, Connecticut. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2993 (CT). The NPI Number for JESSICA KING (O.D.) is 1992157333

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA KING (O.D.)
NPI
1992157333
Phone
(860) 644-4362
Address
93 EVERGREEN WAY
Enumeration Date
11 July 2016
Last Update Date
18 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9789393128
Graduation Year
2016 (10 years ago)
PAC ID
4385924836
Group Practice PAC ID
0244645554
Professional Enrollment ID
I20180907000219
Address ID
MA013319829AT184XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

530 OPTOMETRY in CT

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Provider Addresses for JESSICA KING (O.D.)

  • Evergreen Way, Evergreen Walk, South Windsor, Hartford County, Connecticut, 06074, United States

    SOUTH WINDSOR, CT 060746975

    Phone: (860) 644-4362

    Type: Mailing

  • 184 MARKET DR

    ATHOL, MA 013319829

    Phone: (978) 939-3128

    Fax: (978) 650-2090

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $728.

Total Amount is formed as General ($728) + Research ($0) + Ownership ($0) = $728.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($124).

Total Amount

$728

General + Research + Ownership

Payments

24

Total payment records

General Amount

$728

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180907000219IOptometryMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system238237$0
92004New patient complete exam of visual system148148$0
92250Photography of the retina118112$0
99212Established patient office or other outpatient visit, 10-19 minutes8362$0
99213Established patient office or other outpatient visit, 20-29 minutes4438$0
View full utilization report →

Insurance plans in this area (ZIP 06074)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244645554View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMA
O P T O M E T R YMA
O P T O M E T R YMA
O P H T H A L M O L O G YMA

Reviews

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Frequently asked questions

What unique ID ties claims to JESSICA KING (O.D.)?
NPI 1992157333 is assigned to JESSICA KING (O.D.) under the national enumeration system.
Is JESSICA KING (O.D.)'s NPI currently valid?
The extract we use shows JESSICA KING (O.D.) as active.
Can you summarize JESSICA KING (O.D.)'s specialty in plain language?
Clinically, the directory lists JESSICA KING (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Does JESSICA KING (O.D.) practice in Connecticut?
You will see South Windsor, Connecticut on file for JESSICA KING (O.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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