Active NPI
Melanie J. Ballard, O.D., LTD.
- Optometrist
- Westerville, OH
National Provider Identifier
1619312386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5781
- Legal business name
- MELANIE J. BALLARD, O.D., LTD.
- Practice address
- 113 Commerce Park Dr Ste a
Westerville, OH 43082-6055 - Phone
- (614) 882-9131
- Fax
- (614) 882-9133
- NPI assigned
- May 7, 2013
- Last updated
- Feb 25, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melanie Joan Ballard, O.D.
- Title
- Managing Member
- Phone
- (614) 266-4381
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5781 | OH | Primary |
Addresses
Primary practice location
113 Commerce Park Dr Ste a
Westerville, OH 43082-6055
Mailing address
221 Crystal Petal Dr
Delaware, OH 43015-5071
Phone (614) 266-4381
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0093191 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Optometrist
- Columbus, OH
- NPI 1336185172
-
- Optometrist
- Columbus, OH
- NPI 1700018520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393286400000",
"number": "1619312386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 CRYSTAL PETAL DR",
"city": "DELAWARE",
"state": "OH",
"postal_code": "430155071",
"telephone_number": "614-266-4381",
"fax_number": "614-882-9133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 COMMERCE PARK DR STE A",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430826055",
"telephone_number": "614-882-9131",
"fax_number": "614-882-9133"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELANIE J. BALLARD, O.D., LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-07",
"last_updated": "2014-02-25",
"status": "A",
"authorized_official_last_name": "BALLARD",
"authorized_official_first_name": "MELANIE",
"authorized_official_middle_name": "JOAN",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "614-266-4381",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5781",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0093191",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.