National Provider Identifier Database

BALLANTYNE VISION CARE LLC
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

BALLANTYNE VISION CARE LLC
302 W 3RD ST
LA JUNTA, CO81050-1430
Phone: 719-383-0134
Fax: 719-404-1825
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for BALLANTYNE VISION CARE LLC

NPI Number 1306146121
Legal business name
LBN
BALLANTYNE VISION CARE LLC
Authorized official JORDAN BALLANTYNE - (OPTOMETRIST, OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/26/2010
Last updated 10/10/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • CO License #: 2799
  • CO Medicaid: 93920288
  • CO Other: COA106109 MEDICARE GROUP PTAN
  • CO Other: 1306146121 NPI FOR LAMAR OFFICE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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