DR. CAROL J BALLARD (NPI# 1558468181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558468181 |
| Entity Type | Individual |
| Full Name | DR. CAROL J BALLARD |
| Credential | O.D. |
| Practice Address |
205 1/2 E Public Sq Centerville TN 37033-1601 |
| Practice Telephone | 9317292190 |
| Practice Fax Number | 9317292805 |
| Mailing Telephone | 9317292190 |
| Mailing Fax Number | 9317292805 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2016-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD0000000807 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3595185 | 05 | |
| TN | MEDICARE PART B | 103I411559 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316599798 | Carol Ballard | Technician | 8871 W Flamingo Rd Ste 202, Las Vegas, NV 89147-8729 | 2019-07-15 |
| 1902201759 | Carol Ballard | Occupational Therapy Assistant | 1933 W Pepper Tree Dr, Safford, AZ 85546-4048 | 2014-10-22 |
| 1437146818 | Carol Ballard | Nurse Practitioner | 810 Hospital Dr, Blacksburg, VA 24060-7023 | 2005-09-30 |
| Street Address |
205 1/2 E PUBLIC SQ |
| City | CENTERVILLE |
| State | TN |
| Zip Code | 37033-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962752923 | Regina J Elkins Od LLC | Optometrist | 205 1/2 E Public Sq, Centerville, TN 37033-1601 | 2012-09-17 |
| 1477874501 | Regina J. Elkins, O.d. | Optometrist | 205 1/2 E Public Sq, Centerville, TN 37033-1601 | 2010-06-11 |
| 1942426390 | Carol J. Ballard Od | Optometrist | 205 1/2 E Public Sq, Centerville, TN 37033-1601 | 2007-04-17 |
| 1891892428 | Regina J Elkins | Optometrist | 205 1/2 E Public Sq, Centerville, TN 37033-1601 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225550031 | Saint Thomas Health | Pharmacy | 150 East Swan Street, Centerville, TN 37033 | 2017-07-13 |
| 1558726109 | Rebecca Schmid | Nurse Practitioner | 1518 Hwy 100, Centerville, TN 37033 | 2015-12-28 |
| 1144589458 | Robert Wilson | Chiropractor | 132a N Central Ave, Centerville, TN 37033 | 2012-05-07 |
| 1053543256 | Sandra Elliott Tinnin | Midwife | 1180 Sulpher Creek Rd., Centerville, TN 37033 | 2009-08-20 |
| 1225267578 | Charlotte Maricia Staggs | Counselor | 820 Highway 100, #3, Centerville, TN 37033 | 2009-07-08 |
| 1083742084 | Centerstone | Community/Behavioral Health | 704 Highway 100, Suite101, Centerville, TN 37033 | 2007-03-01 |
| 1972684074 | Christy Hulan Mays | Pharmacist | 401 West Public Square, Centerville, TN 37033 | 2006-10-17 |
| 1992718688 | Saint Thomas Hickman Hospital | Clinic/Center | 150 E Swan Street, Centerville, TN 37033 | 2006-08-14 |
| 1528090552 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 1797 Hwy 100 East, Centerville, TN 37033 | 2006-07-07 |
| 1326074402 | Centerville Medical Investors, LLC | Skilled Nursing Facility | 112 Old Dickson Road, Centerville, TN 37033 | 2006-06-23 |
| Find all providers in zip 37033 | ||||
| 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 |
|---|---|---|---|---|
| 1043405624 | Steven Michael Grout | Optometrist | 101 E Alex Bell Rd Ste 120, Centerville, OH 45459-2789 | 2007-09-07 |
| 1083739346 | Antonia K Taylor | Optometrist | 2930 Watson Blvd, Centerville, GA 31028-1245 | 2007-03-19 |
| 1053452110 | Tracy Tate | Optometrist | 5300 Cornerstone North Blvd, Centerville, OH 45440-2268 | 2007-02-10 |
| 1851466197 | Mason Matthew Wybrow | Optometrist | 308 N Market Place Dr, Centerville, UT 84014-1702 | 2006-11-22 |
| 1740215003 | Samuel A Borchers | Optometrist | 330 N Main Street, Suite #104, Centerville, OH 45459 | 2006-07-12 |
| 1881635381 | Lisa Timmerman | Optometrist | 125 E Franklin St, Centerville, OH 45459-5915 | 2006-06-08 |
| 1053363390 | Thomas Norman Johnson | Optometrist | 125 N 13th St, Centerville, IA 52544-1705 | 2006-05-16 |
| 1316921653 | Leland G Denhartog | Optometrist | 112 West Maple, Centerville, IA 52544 | 2005-11-30 |
| 1043668700 | Daniel Wallace Alletto | Optometrist | 125 N 13th St, Centerville, IA 52544-1705 | 2016-06-02 |
| 1497160667 | Craig Pew O.d., Inc | Optometrist | 200 N Market Place Dr, Centerville, UT 84014-1752 | 2014-06-26 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 37033 |
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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.