Andrew Church Balfour, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6862T Issued in CA

Practice address

555 S Broadway
Los Angeles, CA 90013-2301

Phone

(213) 627-5911

Fax

(213) 622-8048

NPI assigned

Aug 14, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Andrew Balfour & Robert Shapiro

  • Optometrist
  • Los Angeles, CA
  • NPI 1740357698
  Medicare reassignment NPD

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902819568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900132301",
            "telephone_number": "213-627-5911",
            "fax_number": "213-622-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900132301",
            "telephone_number": "213-627-5911",
            "fax_number": "213-622-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALFOUR",
        "first_name": "ANDREW",
        "middle_name": "CHURCH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6862T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0068620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niveda Balemurughan
• Alicia Lishan Bales, M.D.
• Doreen Balestreri
• Balestrieri Psychological Services, P.C. (Triune Therapy Group)
• David L Balfe, M.D.
• Amit Balgude, MD
• Chelsea Marie Balian, N.P
• Lucy Balian, ACSW
• Ovsanna Anna Balian
• Vula Baliotis, PH.D.

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.