Michael Ryan Balliet, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002270 Issued in PA

Practice address

538 Delaware Ave
Palmerton, PA 18071-1911

Phone

(610) 826-2222

Fax

(610) 826-4001

NPI assigned

Aug 3, 2009

Sex

Male

Sole proprietor

Yes

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 PA

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

Pennsylvania College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain View Optometry, P.C.Group PAC ID 4688981392, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mountain View Optometry, P.C.

  • Optometrist
  • Palmerton, PA
  • NPI 1871978254
  Medicare reassignment Care Compare group NPD Authorized official
• Wal-Mart Stores East, L.P.

  • Eyewear Supplier
  • Tamaqua, PA
  • NPI 1629109053
  NPD (past)

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1639300072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 DELAWARE AVE",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711911",
            "telephone_number": "610-826-2222",
            "fax_number": "610-826-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 DELAWARE AVE",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711911",
            "telephone_number": "610-826-2222",
            "fax_number": "610-826-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLIET",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-03",
        "last_updated": "2026-02-12",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arcadia Rehab LLC
• Janet Armstrong, CRNP
• Rosemarie Attewell, M.D.
• Kimberly A. Babbish, M.S.
• Bachert'S Home Care, LLC
• Robyn Marie Barbosa
• Susan Barradale, LSW
• Blue Mountain Medical Associates
• Karen Burke
• Ali Linsk Butash, M.D.

• Optometrist in Palmerton, PA
• Providers in Palmerton, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.