DR. KEITH MARTIN BALLIN (NPI# 1295882314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295882314 |
| Entity Type | Individual |
| Full Name | DR. KEITH MARTIN BALLIN |
| Credential | O.D |
| Practice Address |
801 Tioga Ave Sand City CA 93955-3050 |
| Practice Telephone | 8318991243 |
| Practice Fax Number | 8318991222 |
| Mailing Telephone | 8318991243 |
| Mailing Fax Number | 8318991222 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 10949T | CA | Eye and Vision Services Providers |
| Street Address |
801 TIOGA AVE |
| City | SAND CITY |
| State | CA |
| Zip Code | 93955-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831209436 | Costco Wholesale Corporation | Pharmacy | 801 Tioga Ave, Sand City, CA 93955 | 2006-08-30 |
| 1043605983 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 801 Tioga Ave, Sand City, CA 93955-3050 | 2015-03-30 |
| 1396138939 | Costco Wholesale Corporation | Hearing Aid Equipment | 801 Tioga Ave, Sand City, CA 93955-3050 | 2015-03-06 |
| 1659689313 | Rex Arthur Yahnke | Pharmacist | 801 Tioga Ave, Sand City, CA 93955-3050 | 2010-09-15 |
| 1245559319 | William G Sigillo | Pharmacist | 801 Tioga Ave, Sand City, CA 93955-3050 | 2010-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912472614 | Benbenedic Montoya Aquino | Registered Nurse | 2095, 2095 Paralta Avenue, Seaside, CA 93955 | 2018-10-09 |
| 1316435803 | Teddy Yaw Akosa Agyapong | Pharmacist | 1055 Fremont Bld, Seaside, CA 93955 | 2018-04-30 |
| 1700381423 | Edmundo Fimbres Od Inc | Optometrist | 915 Hilby Ave Ste 1, Seaside, CA 93955 | 2018-03-26 |
| 1275948671 | Brian Peter Farley | Marriage & Family Therapist | 1187 Broadway Ave, Seaside, CA 93955 | 2014-06-24 |
| 1689953044 | Vertis Nathaniel Elmore IIi | Marriage & Family Therapist | 1069 Broadway Ave., Suite 201, Seaside, CA 93955 | 2011-08-16 |
| 1598944993 | Mary Theresa Panlilio | Dentist | 1249 Fremont Blvd, Suite B, Seaside, CA 93955 | 2007-11-01 |
| 1346459641 | Caroline Thomas Haskell | Social Worker | 100 Campus Center, Bldg 80, Seaside, CA 93955 | 2007-05-22 |
| 1811014715 | Anita Gor | Optometrist | 2040 California Ave. Target, Target Optical, Sand City, CA 93955 | 2007-03-23 |
| 1942333059 | Central Coast Pediatric Dental Group | Dentist | 1717 Fremont Blvd, Seaside, CA 93955 | 2007-03-14 |
| 1336105543 | Dessy Junsay Murphy | Physical Medicine & Rehabilitation | 3 Stowe Court, Seaside, CA 93955 | 2006-04-25 |
| Find all providers in zip 93955 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | 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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811014715 | Anita Gor | Optometrist | 2040 California Ave. Target, Target Optical, Sand City, CA 93955 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183428 | Ashley Park | Optometrist | 386 S Green Valley Rd Ste 2, Watsonville, CA 95076-3007 | 2020-10-30 |
| 1053911842 | Michael Guerret | Optometrist | 4130 N Viking Way # 110, Long Beach, CA 90808-1402 | 2020-10-29 |
| 1912506155 | Minati Desai Acharya, O.d., Optometric Corporation | Optometrist | 117 Pelton Center Way, San Leandro, CA 94577-4815 | 2020-10-20 |
| 1740888627 | Jennifer Ngo | Optometrist | 3217 W 153rd St, Gardena, CA 90249-4011 | 2020-10-13 |
| 1649878521 | Jennie Lin | Optometrist | 12914 Cranleigh St, Cerritos, CA 90703-7245 | 2020-10-13 |
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1114524196 | Kenneth E. Sweeney, O.d., Inc. | Optometrist | 825 Pollard Rd Ste 208, Los Gatos, CA 95032-1435 | 2020-10-03 |
| 1316544364 | Chelsey Kimiko Honma | Optometrist | 3151 Airway Ave Ste M3, Costa Mesa, CA 92626-4626 | 2020-10-02 |
| 1437766920 | Mary Mekhael | Optometrist | 5901 Center Dr Apt 456, Los Angeles, CA 90045-8969 | 2020-09-28 |
| 1013524677 | Jennifer Dang, O.d., A Professional Corporation | Optometrist | 301 S Western Ave Ste 103, Los Angeles, CA 90020-3816 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.