Individual provider Active NPI

Keith Martin Ballin, O.D

  • Optometrist
  • Monterey, CA
National Provider Identifier
1295882314
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10949 Issued in CA
Practice address
2 Upper Ragsdale Dr Ste B130
Monterey, CA 93940-7842
Phone
(831) 647-3900
Fax
(831) 771-3966
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10949 CA Primary

Addresses

Primary practice location

2 Upper Ragsdale Dr Ste B130
Monterey, CA 93940-7842

Mailing address

63 S Rockford Dr Ste 220
Tempe, AZ 85288-6226
Phone (831) 717-3900

Other practice location 1

622 Abbott St
Salinas, CA 93901-4315
Phone (831) 771-3900

Other practice location 2

966 Cass St Ste 100
Monterey, CA 93940-4540
Phone (831) 373-7733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040927001191 CA Practitioner - Optometry 6305815333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vantage Eye Center a Medical Corp 19 clinicians

Practice addresses (Care Compare)

966 Cass St
Suite 100
Monterey, CA 93940-4540
Phone (831) 373-7733

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as group
Quality
87.98
Promoting interoperability
88
Improvement activities
40
Cost
49.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vantage Eye Center a Medical Corp CurrentSince Mar 1, 2021 Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Community Hospital of the Monterey Peninsula PastSince Mar 1, 2021 Accepting new patients

Locations

63 S Rockford Dr
Ste 220
Tempe, AZ 85288

2 Upper Ragsdale Dr
Ste B130
Monterey, CA 93940
Phone (831) 647-3900

966 Cass St
Ste 100
Monterey, CA 93940
Phone (831) 373-7733

622 Abbott St
Salinas, CA 93901
Phone (831) 771-3900

622 Abbott St
Ste A
Salinas, CA 93901
Phone (831) 771-3999

Interoperability endpoints

  • Direct secure messaging: keith.ballin.p32@direct.avp.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1295882314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 S ROCKFORD DR STE 220",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852886226",
            "telephone_number": "831-717-3900",
            "fax_number": "831-424-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 UPPER RAGSDALE DR STE B130",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407842",
            "telephone_number": "831-647-3900",
            "fax_number": "831-771-3966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 Abbott St",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939014315",
            "country_code": "US",
            "telephone_number": "831-771-3900",
            "fax_number": "831-424-7835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "966 Cass St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939404540",
            "country_code": "US",
            "telephone_number": "831-373-7733",
            "fax_number": "831-771-3966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLIN",
        "first_name": "KEITH",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.