Catherine Weber Ballew, O.D.
Individual provider Active NPI Optometrist · Lorena, TX
NPI 1720249378 · NPPES record last updated Jun 17, 2008
Key facts
- NPI
- 1720249378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2808T (TX)
- Practice address
- 12564 Chapel Rd
Lorena, TX 76655-3008 - Phone
- (254) 666-7949
- NPI assigned
- Jun 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2808T | TX | MD | Corneal and Contact Management Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2808T | TX | Yes |
| 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
Other providers in Lorena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.