Individual provider Active NPI

Catherine Weber Ballew, O.D.

  • Optometrist
  • Lorena, TX
National Provider Identifier
1720249378
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2808T Issued in TX
Practice address
12564 Chapel Rd
Lorena, TX 76655-3008
Phone
(254) 666-7949
NPI assigned
Jun 17, 2008
Last updated
Jun 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2808T TX Primary
Corneal and Contact Management Optometrist 152WC0802X 2808T TX
Low Vision Rehabilitation Optometrist 152WL0500X 2808T TX
Pediatric Optometrist 152WP0200X 2808T TX
Sports Vision Optometrist 152WS0006X 2808T TX
Vision Therapy Optometrist 152WV0400X 2808T TX
Occupational Vision Optometrist 152WX0102X 2808T TX

Addresses

Primary practice location

12564 Chapel Rd
Lorena, TX 76655-3008

Mailing address

12564 Chapel Rd
Lorena, TX 76655-3008
Phone (254) 666-7949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2808TTXMDPediatric Optometrist

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1720249378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12564 CHAPEL RD",
            "city": "LORENA",
            "state": "TX",
            "postal_code": "766553008",
            "telephone_number": "254-666-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12564 CHAPEL RD",
            "city": "LORENA",
            "state": "TX",
            "postal_code": "766553008",
            "telephone_number": "254-666-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLEW",
        "first_name": "CATHERINE",
        "middle_name": "WEBER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2808T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "2808T",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "TX",
            "license": "2808T",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "2808T",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "TX",
            "license": "2808T",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "2808T",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "TX",
            "license": "2808T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.