Katelyn Balancio, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34375TLG Issued in CA

Practice address

4950 Pacific Ave
Stockton, CA 95207-6307

Phone

(209) 477-4114

NPI assigned

Aug 30, 2019

Sex

Female

Sole proprietor

No

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

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zeiter Eye Medical Group IncGroup PAC ID 8527018316, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.63 of 100Reported as group

Quality

94

Improvement activities

40

Cost

43.42

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Zeiter Eye Medical Group, Inc

  • Ophthalmology Physician
  • Stockton, CA
  • NPI 1730195173

  Optometrist

  Medicare reassignment Care Compare group NPD
• Zeiter Eye Medical Group, Inc.

  • Ophthalmology Physician
  • Elk Grove, CA
  • NPI 1346662970
  NPD
• Luxottica of America Inc.

  • Eyewear Supplier
  • Stockton, CA
  • NPI 1629122270
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1457909616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 PACIFIC AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076307",
            "telephone_number": "209-477-4114",
            "fax_number": "209-477-9871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4950 PACIFIC AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076307",
            "telephone_number": "209-477-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALANCIO",
        "first_name": "KATELYN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34375TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jolene Elizabeth Baker, MA, ATC
• Armita Bakhtmand, PA-C
• Rommel Kaur Bal, DDS
• Simran Bal
• Rama Balaji, M.D.
• Emille Ailene Balbarino
• Renato Jeremy Balderama
• Jessica Renee Balderas
• Charlize Baldoza
• Jeffrey Daniel Balduzzi, M.D.

• Optometrist in Stockton, CA
• Providers in Stockton, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.