Ballantyne Vision Care LLC

PAC ID

5991983199The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Clinic/Group Practice

Enrolled in

CO

Enrollments

1

Group size

2 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

2In 2 places

Enrollment records 1

These NPI records belong to the same enrolled organization. Each has its own page.

• Ballantyne Vision Care LLC

  • Optometrist
  • La Junta, CO
  • NPI 1306146121
• Ballantyne Vision Care LLC

  dba Ark Valley Vision Care

  • Optometrist
  • Lamar, CO
  • NPI 1154994549

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).

• Jordan Brett Ballantyne, O.D.

  • Optometrist
  • La Junta, CO
  • NPI 1326352212
• Charles Nolan Philpy, OD

  • Optometrist
  • Lamar, CO
  • NPI 1700316593
• Taylor Lane Sutton, OD

  • Optometrist
  • Lamar, CO
  • NPI 1518784933

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.