Organization Active NPI

Melanie J. Ballard, O.D., LTD.

  • Optometrist
  • Westerville, OH
National Provider Identifier
1619312386
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5781 Issued in OH
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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.NPI 1700018520
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0093191MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130826000811 OH Part B Supplier - Clinic/Group Practice 9032352893 Receives reassigned benefits from 1 practitioner
Practice locations: Westerville, OH

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.