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Contact Information

BALLARD OPTICAL PS
1719 NW MARKET ST
SEATTLE, WA98107-5225
 Phone: 206-784-2090
 Fax: 206-784-8939
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BALLARD OPTICAL PS

NPI Number 1649494774
LBN Legal business name BALLARD OPTICAL PS
Authorized official ALAN KIMPTON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/12/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
WA License # 1046TX
WA Medicaid 2068708
WA Other 1629052246 NPI-ALAN L. KIMPTON, OD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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