Jeremy Ball, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

PENDING Issued in CA

Practice address

1659 E 6TH St Ste a
Beaumont, CA 92223

Phone

(951) 845-0272

NPI assigned

Jun 12, 2018

Last updated

Jul 9, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, ID2 enrollments

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 2

Specialty

Optometry

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eyeball LLC

  dba Ridgeline EyeCare

  • Optometrist
  • Idaho Falls, ID
  • NPI 1639979917
  Medicare reassignment NPD Authorized official
• Amplify Optometry of America PLLC

  • Optometrist
  • Idaho Falls, ID
  • NPI 1336981158
  Medicare reassignment NPD
• Blair M Ball, OD

  • Optometrist
  • Beaumont, CA
  • NPI 1104972140
  Medicare reassignment
• Dr Jeremy B Ball OD Inc

  • Optometrist
  • Beaumont, CA
  • NPI 1669968053
  Authorized official Same address or phone
• Amplify Optometry of America PLLC

  • Optometrist
  • Hilo, HI
  • NPI 1578301305
  NPD

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1639662802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35430 TRESA LN",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923993232",
            "telephone_number": "951-235-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 E 6TH ST STE A",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "92223",
            "telephone_number": "951-845-0272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 N Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Rialto",
            "state": "CA",
            "postal_code": "923768071",
            "country_code": "US",
            "telephone_number": "909-875-1144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALL",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33963TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Assisted Living Care Solutions, LLC
• Ashley Avila
• Rita Awender, D.C.
• Blair A Baker, MPT
• Blair M Ball, OD
• Bansi Corporation (total care pharmacy)
• Bansi Corporation (Total Care Pharmacy)
• Carlos Alberto Banuelos Ramirez, PHYSICIAN ASSISTANT
• Banyan Group
• Dean Baranski, DDS

• Optometrist in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.