ISABEL KATHLEEN KING (OD) – Optometrist, NPI 1295394765

ISABEL KATHLEEN KING (OD) is a healthcare provider. based in Willmar, Minnesota. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4901005722 (MI). The NPI Number for ISABEL KATHLEEN KING (OD) is 1295394765

Main info

Female
7 Years Of Experience
Name
ISABEL KATHLEEN KING (OD)
NPI
1295394765
Phone
(320) 441-5440
Address
101 WILLMAR AVE SW
Enumeration Date
10 June 2019
Last Update Date
5 September 2023

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
2699631298
Graduation Year
2019 (7 years ago)
PAC ID
8628302320
Group Practice PAC ID
6800249996
Professional Enrollment ID
I20240307003982
Address ID
MI490153031BA1125XWXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

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Provider Addresses for ISABEL KATHLEEN KING (OD)

  • 101, Willmar Avenue Southwest, Willmar, Kandiyohi County, Minnesota, 56201, United States

    WILLMAR, MN 562013556

    Phone: (320) 441-5440

    Fax: (320) 231-6792

    Type: Mailing

  • 1100, East Broadway Street, Redwood Falls, Redwood County, Minnesota, 56283, United States

    REDWOOD FALLS, MN 562832247

    Phone: (260) 609-4681

    Type: Location

  • 1125 COLUMBIA AVE W

    BATTLE CREEK, MI 490153031

    Phone: (269) 963-1298

    Fax: (269) 963-5950

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-03-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20190701000924IOptometryMNTBD
I20240307003982IOptometryMITBD

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 system8989$0
99213Established patient office or other outpatient visit, 20-29 minutes3630$0
92004New patient complete exam of visual system2626$0
92083Exam of visual field with extended testing2422$0
92134Imaging of retina2322$0
View full utilization report →

Insurance plans in this area (ZIP 56201)

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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: 6800249996View full group profile
NameSpecialtyState
O P T O M E T R YMN

Reviews

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Frequently asked questions

What number should I use to identify ISABEL KATHLEEN KING (OD) for billing?
Administrative and clinical systems typically use NPI 1295394765 for ISABEL KATHLEEN KING (OD).
Should I treat ISABEL KATHLEEN KING (OD) as an active provider?
Patients and plans typically see ISABEL KATHLEEN KING (OD) as active in the national extract.
What type of care does ISABEL KATHLEEN KING (OD) provide?
ISABEL KATHLEEN KING (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Is ISABEL KATHLEEN KING (OD) tied to Willmar, Minnesota?
If you are local to Willmar, Minnesota, ISABEL KATHLEEN KING (OD) may be relevant to your search.
Who maintains ISABEL KATHLEEN KING (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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