Active NPI
Steven Riley Ballard, A.B.O.C.
- Optician
- Palm Desert, CA
National Provider Identifier
1346558012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 160688
- Practice address
- 73885 Highway 111
Suite 9
Palm Desert, CA 92260-4027 - Phone
- (303) 244-9900
- NPI assigned
- Sep 15, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 160688 | CA | Primary |
Addresses
Primary practice location
73885 Highway 111
Suite 9
Palm Desert, CA 92260-4027
Mailing address
73885 Highway 111
Suite 9
Palm Desert, CA 92260-4027
Phone (303) 919-2303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160688 | Other | CA | AMERICAN BOARD OF OPTICIANS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160688 | CA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311552000000",
"number": "1346558012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73885 HIGHWAY 111",
"address_2": "SUITE 9",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922604027",
"telephone_number": "303-919-2303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73885 HIGHWAY 111",
"address_2": "SUITE 9",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922604027",
"telephone_number": "303-244-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLARD",
"first_name": "STEVEN",
"middle_name": "RILEY",
"name_prefix": "Mr.",
"credential": "A.B.O.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-15",
"last_updated": "2011-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "CA",
"license": "160688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BOARD OF OPTICIANS",
"identifier": "160688",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.