Organization
DR. CHRISTIAN A. KING OPTOMETRIST, LLC
Active
Other names
Christian A. King, OD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN A KING OD (OWNER)
(419) 445-5436
Entity
Organization
Contact information
Practice address
1001 S. DEFIANCE ST., ARCHBOLD, OH 43502-0038
(419) 445-5436
(419) 446-4818
Mailing address
1001 S. DEFIANCE ST., PO BOX 38, ARCHBOLD, OH 43502-0038
(419) 445-5436
(419) 446-4818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4116T1056
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0768129
—
OH
01
—
7769130001
MEDICARE
OH
Enumeration date
10/06/2008
Last updated
11/13/2019
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