Kenneth H. Ballentine Od Inc. in San Jose - Optometrist

Kenneth H. Ballentine Od Inc. - NPI 1649448507

Kenneth H. Ballentine Od Inc. is a Optometrist in San Jose, California. Kenneth H. Ballentine Od Inc. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kenneth H. Ballentine Od Inc. is 1649448507. The last update date is 2012-09-06.

Kenneth H. Ballentine Od Inc.'s current location address is 5275 Prospect Rd, San Jose, California. You can contact this provider via phone number 4082550576. The mailing address for Kenneth H. Ballentine Od Inc. is 5275 Prospect Rd, San Jose, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kenneth H. Ballentine Od Inc.
Address 5275 Prospect Rd, San Jose, California
Phone Number 4082550576
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DOCTOR
Authorized Official Name Ballentine H Kenneth
Credentials OD
Telephone Number 4082550576

NPI Number Detail

NPI Number 1649448507
Provider Enumeration Date 2008-02-13
Last Updated Date 2012-09-06

Provider Mailing Address Detail

Address 5275 Prospect Rd
City San Jose
State California (CA)
Post Code 951295031
Phone Number 4082550576
Fax Number

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 6863T
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
SD0068630 CA --

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FAQs about Kenneth H. Ballentine Od Inc.

What is the unique 10-digit identification code issued to Kenneth H. Ballentine Od Inc. by the Centers for Medicare & Medicaid Services?

The Kenneth H. Ballentine Od Inc. has been assigned the NPI (National Provider Identifier) 1649448507 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Kenneth H. Ballentine Od Inc.'s facilities are situated?

The facilities of Kenneth H. Ballentine Od Inc. are physically located at the following address: 5275 Prospect Rd, San Jose, CA, 951295031.

What is Kenneth H. Ballentine Od Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kenneth H. Ballentine Od Inc.'s specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1649448507 to Kenneth H. Ballentine Od Inc.?

The Centers for Medicare & Medicaid Services originally issued the 1649448507 to Kenneth H. Ballentine Od Inc. on 2008-02-13.

As of what date was the information pertaining to Kenneth H. Ballentine Od Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Kenneth H. Ballentine Od Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-09-06.

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