DRS Ballard & Bourque Optometrist, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3442T Issued in TX

Legal business name

DRS BALLARD & BOURQUE OPTOMETRIST, P.C.

Practice address

6446 LBJ Fwy
Dallas, TX 75240-6407

Phone

(972) 960-2020

Fax

(972) 960-2063

NPI assigned

Jun 13, 2006

Organization subpart

No

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.

Title

Owner

Phone

(972) 960-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• First Eye Care Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Elizabeth Allen, O.D.

  • Optometrist
  • Carrollton, TX
  • NPI 1841228111
  NPD (past)
• Todd Brantley, OD

  • Optometrist
  • Plano, TX
  • NPI 1760595631
  NPD (past)
• Olga Tabakman Sukenik, O.D.

  • Optometrist
  • Plano, TX
  • NPI 1649590431
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00E55W",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ocie Ann Driver, QMHP
• Anastasia Drobysheva, MD
• David Michael Dromsky, MD
• Lauren Drory, MS CCC-SLP
• Sully Drotar, D.O.
• DRS Carman Weston & Koster a Professional Association
• DRS Cox Chanez & Christina
• DRS Tschumy Herring Kaliser True Reardon Jones a Medical Association
• DRS. Leiman and Simon, PA
• DRS. Porter and Sone & Associates, PA

• Optometrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Optometrist in Texas

• 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.