| Ballantyne Vision Care Llc | |
|
302 W 3rd St, La Junta, CO 81050-1430 | |
| (719) 383-0134 | |
| (719) 404-1825 |
| Full Name | Ballantyne Vision Care Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 302 W 3rd St, La Junta, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306146121 | NPI | - | NPPES |
| COA106109 | Other | CO | MEDICARE GROUP PTAN |
| 93920288 | Medicaid | CO | |
| 1306146121 | Other | CO | NPI FOR LAMAR OFFICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2799 (Colorado) | Primary |
| Provider Name | Jordan B Ballantyne |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326352212 PECOS PAC ID: 6305024324 Enrollment ID: I20110622000308 |
| Provider Name | Charles N Philpy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700316593 PECOS PAC ID: 7810269933 Enrollment ID: I20170823003574 |
| Mailing Address | Practice Location Address |
|---|---|
| Ballantyne Vision Care Llc Po Box 305, La Junta, CO 81050-0305 Ph: (719) 383-0134 | Ballantyne Vision Care Llc 302 W 3rd St, La Junta, CO 81050-1430 Ph: (719) 383-0134 |
Abba Eye Care Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 314 Colorado Ave, La Junta, CO 81050 Phone: 719-384-2020 Fax: 719-384-4423 | |
Young At Heart Vision Optometrist Medicare: Not Enrolled in Medicare Practice Location: 317 W 3rd St Ste 104, La Junta, CO 81050 Phone: 719-733-3303 | |
Rocky Mountain Eye Center Inc A Colorado Provider Network Optometrist Medicare: Not Enrolled in Medicare Practice Location: 102 Santa Fe Ave, La Junta, CO 81050 Phone: 719-384-8719 Fax: 719-384-8738 | |
Dr. Jordan Brett Ballantyne, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 302 W 3rd St, La Junta, CO 81050 Phone: 719-383-0134 Fax: 719-404-1825 | |
Mrs. Sherry Lynne Shepherd, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 102 Santa Fe Ave, La Junta, CO 81050 Phone: 719-384-8719 Fax: 719-384-8738 | |
Ellington Eyecare Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6 Conley Rd, La Junta, CO 81050 Phone: 719-383-2593 |