Active NPI
Melissa Ball
- Optometrist
- London, KY
National Provider Identifier
1003098765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1337DT
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77900835 | Medicaid | KY |
Other names 1
- Professionals in Eye Care
National Provider Directory
National Provider DirectoryLocations
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.