Active NPI
Keith Martin Ballin, O.D
- Optometrist
- Monterey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10949
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Quality
- 87.98
- Promoting interoperability
- 88
- Improvement activities
- 40
- Cost
- 49.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vantage Eye Center a Medical Corp | Current | Accepting new patients | |
| Luxottica of America Inc. | Past | Accepting new patients | |
| Community Hospital of the Monterey Peninsula | Past | 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
- 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.
-
- General Acute Care Hospital
- Monterey, CA
- NPI 1932197258
-
- Eyewear Supplier
- Riverside, CA
- NPI 1366598120
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.