Beth Ellen Ballinger, O.D., F.C.O.V.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

6614T Issued in CA

Practice address

901 Dover Dr
Ste. 100
Newport Beach, CA 92660-5538

Phone

(949) 642-0292

Fax

(949) 642-0298

NPI assigned

Feb 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366583965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 DOVER DR",
            "address_2": "STE. 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605538",
            "telephone_number": "949-642-0292",
            "fax_number": "949-642-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DOVER DR",
            "address_2": "STE. 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605538",
            "telephone_number": "949-642-0292",
            "fax_number": "949-642-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLINGER",
        "first_name": "BETH",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "O.D., F.C.O.V.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "6614T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia T Ballain, AUD
• Rachel Ballantyne, NP
• Jennifer Marie Ballard-Hernandez, NP
• Elisha Daniel Ballard
• Ronald Steven Ballback, DDS
• Rita Balyan
• Daniel S. Bandari, M.D.
• Amy T Bandy, D.O.
• Hochong Bang
• Sharon Chung Bang, MFT

• Vision Therapy Optometrist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Vision Therapy Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.