P Praxis·MD
● Active Type 1 · Individual

DR. Kenneth William King JR., O.D.

Optometrist·Idaho Falls, ID· NPI 1174524722 · Enumerated 2005 · 20 years on NPI
King is 1 of 1 optometrist providers in Idaho Falls and 1 of 16 in Idaho.
NPI age
20 years
Enumerated 2005-08-04
Primary specialty
Optometrist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-12-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 16 active optometrist providers in Idaho.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-08Enumerated in NPPES
2005 2026

Where they practice

Practice location
1480 E Lincoln Rd
Idaho Falls, ID 834012128
📞 2085258686fax 2085258684
Mailing address
1480 E Lincoln Rd
Idaho Falls, ID 834012128
📞 2085258686fax 2085258684

Specialties

  • Optometrist Primary
    The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal...
    ID license #ODP0467 taxonomy 152WC0802X

Identifiers

TypeValueNotes
01 I-902428 CHAMPUS
01 0605250001 DMERC
01 (ID) 82052 BLUE SHIELD
05 (ID) 002543100

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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