DR. HOLTON S JR. KING (O.D.) – Optometrist, NPI 1194713990

DR. HOLTON S JR. KING (O.D.) is a healthcare provider. based in Cornelia, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1106 (GA). The NPI Number for DR. HOLTON S JR. KING (O.D.) is 1194713990

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. HOLTON S JR. KING (O.D.)
NPI
1194713990
Phone
(706) 776-6311
Address
118 VISION DR
Enumeration Date
6 October 2005
Last Update Date
21 February 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7067766311
Graduation Year
1985 (41 years ago)
PAC ID
6406954692
Group Practice PAC ID
7416055603
Professional Enrollment ID
I20070612000767
Address ID
GA305315737CO118XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

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Provider Addresses for DR. HOLTON S JR. KING (O.D.)

  • Vision Drive, Midway, Cornelia, Habersham County, Georgia, 30531, United States

    CORNELIA, GA 305315737

    Phone: (706) 776-6311

    Fax: (706) 776-7243

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $437.

Total Amount is formed as General ($437) + Research ($0) + Ownership ($0) = $437.

Last reported payment date: 2024-09-17 • Largest payer in this snapshot: Glaukos Corporation ($131).

Total Amount

$437

General + Research + Ownership

Payments

8

Total payment records

General Amount

$437

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-17

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: 2007-06-12

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
I20070612000767IOptometryGATBD

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
66984Removal of cataract with insertion of prosthetic lens3,18625$0
92012Established patient problem focused exam of visual system584559$0
92133Imaging of optic nerve13294$0
92134Imaging of retina10591$0
92002New patient problem focused exam of visual system6767$0
View full utilization report →

Insurance plans in this area (ZIP 30531)

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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: 7416055603View full group profile
NameSpecialtyState
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YGA

Reviews

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Frequently asked questions

How do payers reference DR. HOLTON S JR. KING (O.D.)?
For DR. HOLTON S JR. KING (O.D.), use NPI 1194713990 as the unique 10-digit identifier.
Is DR. HOLTON S JR. KING (O.D.) still an active registrant?
DR. HOLTON S JR. KING (O.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. HOLTON S JR. KING (O.D.)'s focus?
For DR. HOLTON S JR. KING (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. HOLTON S JR. KING (O.D.)?
Travel planning: use Cornelia, Georgia as the reference point for DR. HOLTON S JR. KING (O.D.), then confirm.
Does DR. HOLTON S JR. KING (O.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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