Dr. Jordan Brett Ballantyne is a La Junta, Colorado based male Optometrist with 14 years of experience in Optometry. He completed his graduation from Southern College Of Optometry in 2010. He may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Dr. Jordan Brett Ballantyne is 2799 for Optometry in Colorado. Dr. Jordan Brett Ballantyne examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Jordan Brett Ballantyne speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
14+ years
Medical School Attended:
Southern College Of Optometry
Graduation Year:
2010
Gender:
Male
Accepts Medicare Assignment:
May Accept
Practice Address:
302 W 3rd St, La Junta, Colorado, 81050-1430
Phone:
719-383-0134
Fax:
719-404-1825
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6305024324
Enrollment ID:
I20110622000308
NPI Number:
1326352212
NPI Enumeration Date:
03 Aug, 2010
NPI Last Update On:
10 Oct, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jordan Brett Ballantyne are as mentioned below.
License Number
Specialization
State
Status
2799
Optometry
Colorado
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Jordan Brett Ballantyne has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Ballantyne Vision Care Llc (5991983199)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jordan Brett Ballantyne such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
93920288
Medicaid
Colorado
COA105677
Other
Colorado
MEDICARE INDIVIDUAL PTAN
12141883
Other
Colorado
CAQH
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 305, La Junta, Colorado
Zip:
81050-0305
Phone Number:
719-383-0134
Fax Number:
719-404-1825
Patients can reach Dr. Jordan Brett Ballantyne at 302 W 3rd St, La Junta, Colorado or can call to book an appointment on 719-383-0134. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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