Organization Active NPI

Melissa Ball

  • Optometrist
  • London, KY
National Provider Identifier
1003098765
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1337DT Issued in KY
Legal business name
MELISSA BALL
Practice address
356 N McWhorter St
Suite 1
London, KY 40741-2235
Phone
(606) 877-6585
Fax
(606) 877-9936
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Melissa Ball, O.D.
Title
Owner/Optometrist
Phone
(606) 877-6585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1337DT KY Primary

Addresses

Primary practice location

356 N McWhorter St
Suite 1
London, KY 40741-2235

Mailing address

356 N McWhorter St
Suite 1
London, KY 40741-2235
Phone (606) 877-6585

Other identifiers 1

IdentifierTypeStateIssuer
77900835MedicaidKY

Other names 1

  • Professionals in Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

356 N McWhorter St
Ste 1
London, KY 40741
Phone (606) 877-6585

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1003098765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 N MCWHORTER ST",
            "address_2": "SUITE 1",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412235",
            "telephone_number": "606-877-6585",
            "fax_number": "606-877-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 N MCWHORTER ST",
            "address_2": "SUITE 1",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412235",
            "telephone_number": "606-877-6585",
            "fax_number": "606-877-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA BALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "606-877-6585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1337DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77900835",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professionals in Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.