Dr Jordan Brett Ballantyne, OD | |
302 W 3rd St, La Junta, CO 81050-1430 | |
(719) 383-0134 | |
(719) 404-1825 |
Full Name | Dr Jordan Brett Ballantyne |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 14 Years |
Location | 302 W 3rd St, La Junta, Colorado |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326352212 | NPI | - | NPPES |
93920288 | Medicaid | CO | |
COA105677 | Other | CO | MEDICARE INDIVIDUAL PTAN |
12141883 | Other | CO | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2799 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ballantyne Vision Care Llc | 5991983199 | 2 |
Provider Name | Ballantyne Vision Care Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306146121 PECOS PAC ID: 5991983199 Enrollment ID: O20110616000494 |
Mailing Address | Practice Location Address |
---|---|
Dr Jordan Brett Ballantyne, OD Po Box 305, La Junta, CO 81050-0305 Ph: (719) 383-0134 | Dr Jordan Brett Ballantyne, OD 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 | |
Ballantyne Vision Care Llc Optometrist Medicare: Medicare Enrolled 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 | |
Vision Now Optics Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 116 W 3rd St, La Junta, CO 81050 Phone: 719-733-3303 |