Eyeball LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYEBALL LLC

Doing business as

Ridgeline EyeCare

Practice address

814 Pancheri Dr
Idaho Falls, ID 83402-3344

Phone

(208) 715-8880

Fax

(208) 715-8885

NPI assigned

Mar 17, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Jeremy Ball, ODNPI 1639662802

Title

Owner

Phone

(951) 235-4345

Specialties & licenses 1

Addresses

Other names 1

• Ridgeline EyeCare Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 1

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

• Jeremy Ball, OD

  • Optometrist
  • Beaumont, CA
  • NPI 1639662802

  ID

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1639979917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 PANCHERI DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023344",
            "telephone_number": "208-715-8880",
            "fax_number": "208-715-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 PANCHERI DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834023344",
            "telephone_number": "208-715-8880",
            "fax_number": "208-715-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEBALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-235-4345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ridgeline EyeCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ridgeline EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ew Garland M.D. PA (Idaho Falls Neurology)
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• Excellence in Medicine Inc (Southeast Idaho Sleep DME)
• Excellence in Medicine Inc (Southeast Idaho Sleep DME)
• Eye Clinic of Idaho Falls,PA
• Eyecare Center Idaho Falls LLC
• Eyedaho Optometric LLC
• Eyedaho Optometric LLC
• Eyemart Express LLC
• Eyemart Express LTD

• Optometrist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.