Individual provider Active NPI

Whitney Ballash, OD

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1851076384
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002713 Issued in AZ
Practice address
2330 N 75TH Ave Ste 101
Phoenix, AZ 85035-1200
Phone
(623) 849-8726
Fax
(623) 849-8871
NPI assigned
Jun 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002713 AZ Primary

Addresses

Primary practice location

2330 N 75TH Ave Ste 101
Phoenix, AZ 85035-1200

Mailing address

12605 N Tatum Blvd # A111
Phoenix, AZ 85032-7710
Phone (602) 494-7336

Other practice location 1

3111 W Chandler Blvd Ste 2104
Chandler, AZ 85226-5085
Phone (480) 726-7009

Other practice location 2

1649 S Stapley Dr Ste 108
Mesa, AZ 85204-6649
Phone (480) 606-3199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240913001444 AZ Practitioner - Optometry 3971043183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dnanda Eyecare PLLCGroup PAC ID 7911381959, 10 clinicians

Practice addresses (Care Compare)

1831 E Camelback Rd
Suite B2
Phoenix, AZ 85016-4162
Phone (480) 627-8689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DN&a Eyecare PLLC Optometrist CurrentSince Jun 29, 2024 Accepting new patients
Envision Eyecare LLC CurrentSince Mar 17, 2024 Accepting new patients
Dr. Nez and Associates Inc Optometrist CurrentSince Jun 29, 2024 Accepting new patients

Locations

3111 W Chandler Blvd
Ste 2104
Chandler, AZ 85226
Phone (480) 726-7009

1649 S Stapley Dr
Ste 108
Mesa, AZ 85204
Phone (480) 345-7520

2330 N 75th Ave
Ste 101
Phoenix, AZ 85035
Phone (623) 849-8150

1831 E Camelback Rd
Ste B2
Phoenix, AZ 85016
Phone (480) 345-7520

12605 N Tatum Blvd
#A111
Phoenix, AZ 85032
Phone (602) 494-7333

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1851076384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12605 N TATUM BLVD # A111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327710",
            "telephone_number": "602-494-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 N 75TH AVE STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850351200",
            "telephone_number": "623-849-8726",
            "fax_number": "623-849-8871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3111 W Chandler Blvd Ste 2104",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852265085",
            "country_code": "US",
            "telephone_number": "480-726-7009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1649 S Stapley Dr Ste 108",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852046649",
            "country_code": "US",
            "telephone_number": "480-606-3199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLASH",
        "first_name": "WHITNEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.