Organization
KING'S VISION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELYN G SHORT OD (OWNER)
(865) 748-4244
Entity
Organization
Contact information
Practice address
1001 S DEFIANCE ST, ARCHBOLD, OH 43502-1617
(419) 445-5436
(419) 446-4818
Mailing address
PO BOX 38, ARCHBOLD, OH 43502-0038
(419) 445-5436
(419) 446-4818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/11/2026
Last updated
03/12/2026
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