Dr Jeremy B Ball OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR JEREMY B BALL OD INC

Practice address

1659 E 6TH St Ste a
Beaumont, CA 92223

Phone

(951) 845-0272

NPI assigned

Jul 9, 2018

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, OD

Title

Chief Executive Officer

Phone

(951) 235-4345

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1669968053",
    "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": {
        "organization_name": "DR JEREMY B BALL OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "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": []
}

• Harmony Dick, HIS
• Amar Dixit, M.D.
• Melia Donald
• Joseph Dotan, MD
• Kathleen Helen Dougherty
• Dr. Blair M Ball OD
• Jeanne Marie Duebbert, LMFT
• Leeanne Dunwoody
• Jasmine Ashley Dwyer, MD
• Aubrianne Easton

• 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 10, 2018; 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.