Individual provider Active NPI

Melissa Robinette Ball, O.D.

  • Optometrist
  • London, KY
National Provider Identifier
1104842905
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1337DT Issued in KY
Practice address
356 N McWhorter St
London, KY 40741-2235
Phone
(606) 877-6585
Fax
(606) 877-9936
NPI assigned
Jul 14, 2006
Last updated
May 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1337DT KY Primary
Pediatric Optometrist 152WP0200X 1337DT KY

Addresses

Primary practice location

356 N McWhorter St
London, KY 40741-2235

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
77013373MedicaidKY
7100004960OtherKYEPSDT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090305000465 KY Practitioner - Optometry 4587720149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1337DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Professionals in Eye Care LLC Optometrist CurrentSince Jan 1, 2018 Accepting new patients

Locations

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

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1104842905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 N MCWHORTER ST",
            "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",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407412235",
            "telephone_number": "606-877-6585",
            "fax_number": "606-877-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "MELISSA",
        "middle_name": "ROBINETTE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1337DT",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "KY",
            "license": "1337DT",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77013373",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EPSDT",
            "identifier": "7100004960",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.