Organization Active NPI

DRS Ballard & Bourque Optometrist, P.C.

Doing business as First Eye Care

  • Optometrist
  • Dallas, TX
National Provider Identifier
1497798250
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3442T Issued in TX
Legal business name
DRS BALLARD & BOURQUE OPTOMETRIST, P.C.
Doing business as
First Eye Care
Practice address
6446 LBJ Fwy
Dallas, TX 75240-6407
Phone
(972) 960-2020
Fax
(972) 960-2063
NPI assigned
Jun 13, 2006
Last updated
Mar 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Dr. Thomas Dent Ballard, O.D.NPI 1467492942
Title
Owner
Phone
(972) 960-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3442T TX Primary

Addresses

Primary practice location

6446 LBJ Fwy
Dallas, TX 75240-6407

Mailing address

6446 LBJ Fwy
Dallas, TX 75240-6407
Phone (972) 960-2020

Other names 1

  • First Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1497798250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6446 LBJ FWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406407",
            "telephone_number": "972-960-2020",
            "fax_number": "972-960-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6446 LBJ FWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406407",
            "telephone_number": "972-960-2020",
            "fax_number": "972-960-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS BALLARD & BOURQUE OPTOMETRIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-960-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3442T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.