Ballantyne Vision Care LLC
NPI 1306146121ActiveOrganization· Optometrist· La Junta, CO
Optometrist in La Junta, Colorado, registered in NPPES in October 2010. The authorized official on file is Jordan Ballantyne, O.D., Optometrist, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1306146121 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 26, 2010 |
| Last updated in NPPES | Oct 10, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2799 | CO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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