IndividualActive
Kenneth King, O.D.
NPI 1174524722 · Corneal and Contact Management Optometrist · Idaho Falls, ID
Provider details
- NPI number
- 1174524722
- Entity type
- Individual
- Primary specialty
- Corneal and Contact Management OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- ODP0467 (ID)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1480 E Lincoln Rd
Idaho Falls, ID 83401-2128
Phone: (208) 525-8686
Fax: (208) 525-8684
Approximate (ZIP-level) locationGet directions
Mailing address
1480 E Lincoln Rd
Idaho Falls, ID 83401-2128
Registry dates
- Enumerated
- 2005-08-04
- Last updated
- 2013-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.