Killeen Eye Care, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

03442TG Issued in TX

Legal business name

KILLEEN EYE CARE, P.A.

Practice address

2102 South Young Dr.
Killeen, TX 76543

Phone

(254) 690-4733

Fax

(254) 690-6728

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Dent Ballard, O.D.NPI 1467492942

Title

Owner/President

Phone

(972) 960-2020

Specialties & licenses 1

Addresses

Other names 1

• First Eye Care Killeen Doing business as

Practitioners 1

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

• Thomas Dent Ballard, O.D.

  • Optometrist
  • Dallas, TX
  • NPI 1467492942
  NPD (past) Authorized official

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195776000000",
    "number": "1669419669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 SOUTH YOUNG DR.",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76543",
            "telephone_number": "254-690-4733",
            "fax_number": "254-690-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 SOUTH YOUNG DR.",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "76543",
            "telephone_number": "254-690-4733",
            "fax_number": "254-690-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILLEEN EYE CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-11-23",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DENT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "972-960-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "03442TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Eye Care Killeen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Killeen Dental Health Center, PA
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• Killeen Emergency Center, LLC
• Killeen Eye Associates, P.a.
• Killeen Family Dentistry
• Killeen Family Health and Urgent Care, PA
• Killeen Family Medicine Clinic, PLLC
• Killeen Injury Clinic, Inc.
• Killeen Isd

• Optometrist in Killeen, TX
• Providers in Killeen, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.