Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Michelle King, OD

Individual provider Optometrist · NPI 1578792107

Mary Michelle King, OD is an Optometry in Chula Vista, California. Graduated from Southern California College of Optometry in 2009, 17 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2009
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1741 Eastlake Pkwy Ste 101
Chula Vista, CA 91915-2032
Phone: (619) 421-6600
Fax: (619) 421-6006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 13711 (CA)

Record details

NPI number1578792107
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 2, 2009
Last updated in NPPESJuly 4, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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