COLLEEN M KING (O.D.) – Optometrist, NPI 1629077649

COLLEEN M KING (O.D.) is a healthcare provider. based in Jacksonville, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC3718 (FL). The NPI Number for COLLEEN M KING (O.D.) is 1629077649

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
COLLEEN M KING (O.D.)
NPI
1629077649
Phone
(904) 356-9431
Address
201 N HOGAN ST STE 100
Enumeration Date
20 July 2005
Last Update Date
27 February 2025

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
9043569431
Graduation Year
2002 (24 years ago)
PAC ID
0749178655
Group Practice PAC ID
8426185927
Professional Enrollment ID
I20040310000746
Address ID
FL322024203JA201XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for COLLEEN M KING (O.D.)

  • 201 N HOGAN ST STE 100

    JACKSONVILLE, FL 322024203

    Phone: (904) 356-9431

    Fax: (904) 356-2969

    Type: Location

  • Dunn Avenue, Jacksonville, Duval County, Florida, 32218, United States

    SUITE 101B

    JACKSONVILLE, FL 322184719

    Phone: (904) 757-1495

    Fax: (904) 757-1497

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $1,457.

Total Amount is formed as General ($1,457) + Research ($0) + Ownership ($0) = $1,457.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Horizon Therapeutics plc ($231).

Total Amount

$1,457

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,457

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2004-03-10

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
I20040310000746IOptometryFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4839$0
92014Established patient complete exam of visual system3535$0
92083Exam of visual field with extended testing2323$0
92004New patient complete exam of visual system2121$0
92250Photography of the retina2020$0
View full utilization report →

Insurance plans in this area (ZIP 32202)

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Provider's Procedures

COLLEEN M KING (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYFL92012Eye and medical examination for diagnosis and treatment, established patient5838
OPTOMETRYFL92083Measurement of field of vision during daylight conditions1919

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: 8426185927View full group profile
NameSpecialtyState
O P T O M E T R YAL
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

How do I look up COLLEEN M KING (O.D.) by NPI?
Use NPI 1629077649 when you need to reference COLLEEN M KING (O.D.) in forms, claims, or directories.
Is COLLEEN M KING (O.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does COLLEEN M KING (O.D.) list a primary specialty?
If you are matching referrals, note Optometrist for COLLEEN M KING (O.D.). Clinical services aligned with this taxonomy classification.
Where does public data place COLLEEN M KING (O.D.)?
The snapshot lists Jacksonville, Florida for COLLEEN M KING (O.D.); download NPPES for the complete set.
How can I contact COLLEEN M KING (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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