BALLANTYNE VISION CARE LLC (NPI# 1306146121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306146121 |
| Entity Type | Organization |
| Organization Name | BALLANTYNE VISION CARE LLC |
| Practice Address |
302 W 3rd St La Junta CO 81050-1430 |
| Mailing Address |
Po Box 305 La Junta CO 81050-0305 |
| Practice Telephone | 7193830134 |
| Practice Fax Number | 7194041825 |
| Mailing Telephone | 7193830134 |
| Mailing Fax Number | 7194041825 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2016-10-10 |
| Authorized Official Name | DR. JORDAN BALLANTYNE (OPTOMETRIST, OWNER) |
| Authorized Official Telephone | 7193830134 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2799 | CO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | NPI FOR LAMAR OFFICE | 1306146121 | 01 |
| CO | 93920288 | 05 | |
| CO | MEDICARE GROUP PTAN | COA106109 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Ballantyne Vision Care LLC | 302 W 3rd St, La Junta, CO 81050 |
| Street Address |
302 W 3RD ST |
| City | LA JUNTA |
| State | CO |
| Zip Code | 81050-1430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326352212 | Jordan Brett Ballantyne | Optometrist | 302 W 3rd St, La Junta, CO 81050-1430 | 2010-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658057 | Poudre Valley Medical Group, LLC | Internal Medicine | 2315 San Juan Avenue, La Junta, CO 81050 | 2020-04-22 |
| 1316589567 | Southeast Mental Health Services | Clinic/Center | 721 Barnes Ave, La Junta, CO 81050 | 2019-10-09 |
| 1164945127 | Susan Ann Workman | Clinical Nurse Specialist | 13 West Third Street, Room 111, La Junta, CO 81050 | 2017-07-21 |
| 1952774465 | Ryan T Anderson Ddc PC | Clinic/Center | 13 E 4th St., La Junta, CO 81050 | 2015-11-05 |
| 1083086524 | Ryan Taylor Anderson | Dentist | 13 East 4th Street, La Junta, CO 81050 | 2015-10-23 |
| 1902287329 | Shanna Kay Riley | Case Manager/Care Coordinator | 711 Barnes Ave., La Junta, CO 81050 | 2015-06-11 |
| 1548668593 | Joseph Wayne Lee | Licensed Practical Nurse | 1203 Holt Ln, Lajunta, CO 81050 | 2014-12-08 |
| 1730506809 | Down To Earth Dentistry, LLC. | Dentist | 17 W. 4th St., La Junta, CO 81050 | 2014-03-26 |
| 1154668275 | Arkansas Valley Hearing Center, Inc | Hearing Aid Equipment | 408 West 3rd St, La Junta, CO 81050 | 2013-01-09 |
| 1710223698 | Timothy Eugene Kelley | Counselor | 313 West Third Street, Suite 204, La Junta, CO 81050 | 2012-12-20 |
| Find all providers in zip 81050 | ||||
| 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 |
|---|---|---|---|---|
| 1174159842 | Yah Vision | Optometrist | 317 W 3rd St Ste 104, La Junta, CO 81050-1401 | 2020-03-13 |
| 1114132644 | Abba Eye Care PC | Optometrist | 314 Colorado Ave, La Junta, CO 81050-3608 | 2007-05-10 |
| 1275695827 | Rocky Mountain Eye Center Inc A Colorado Provider Network | Optometrist | 102 Santa Fe Ave, La Junta, CO 81050-1523 | 2006-12-13 |
| 1821046137 | Donald S. Swanz | Optometrist | 313 W 3rd St, #102, La Junta, CO 81050-1411 | 2006-05-05 |
| 1942614813 | David Mitchel Brown | Optometrist | 102 Santa Fe Ave, La Junta, CO 81050-1523 | 2014-06-18 |
| 1326352212 | Jordan Brett Ballantyne | Optometrist | 302 W 3rd St, La Junta, CO 81050-1430 | 2010-08-03 |
| 1417012956 | Sherry Lynne Shepherd | Optometrist | 102 Santa Fe Ave, La Junta, CO 81050-1523 | 2006-12-26 |
| 1912085499 | Gaila J Hill | Optometrist | 6 Conley Rd, La Junta, CO 81050-9640 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821174 | Bright Eyes Vision Clinic PC A Colorado Professional Corporation | Optometrist | 5385 W 38th Ave, Wheat Ridge, CO 80212-7058 | 2020-11-05 |
| 1538760863 | Bright Eyes Vision Clinic PC A Colorado Professional Corporation | Optometrist | 2020 Wadsworth Blvd Ste 11, Lakewood, CO 80214-5728 | 2020-11-03 |
| 1740880806 | Myeyedr Optometry of Colorado PC | Optometrist | 6750 S Cornerstar Way Ste E, Aurora, CO 80016-1573 | 2020-10-28 |
| 1780283564 | Eye Love Care Inc | Optometrist | 1455 S Chelton Rd, Colorado Springs, CO 80910-1663 | 2020-10-22 |
| 1154929602 | Madison Street Provider Network, LLC | Optometrist | 125 Inverness Dr E Ste 200, Englewood, CO 80112-5138 | 2020-10-15 |
| 1124626015 | Ekin Vision Care LLC | Optometrist | 1 W Flatiron Crossing Dr Ste 1104, Broomfield, CO 80021-8886 | 2020-10-13 |
| 1538766654 | Sky High Vision | Optometrist | 14749 W 87th Pkwy, Unit D, Arvada, CO 80005 | 2020-10-01 |
| 1033716212 | Madison Street Provider Network Inc | Optometrist | 1371 Hecla Dr Ste C, Louisville, CO 80027-2318 | 2020-10-01 |
| 1831796010 | Madison Street Provider Network Inc | Optometrist | 10001 N. Washington St., Thornton, CO 80229-2050 | 2020-10-01 |
| 1154928331 | Madison Street Provider Network Inc | Optometrist | 4103 Boardwalk Dr Unit 100, Fort Collins, CO 80525-5933 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BALLANTYNE VISION CARE LLC.
| 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.