Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JORDAN BRETT BALLANTYNE, O.D.
ActiveDR. JORDAN BRETT BALLANTYNE, O.D. is a Optometrist healthcare provider located in LA JUNTA, Colorado. NPI 1326352212 is currently active in the NPPES registry. Verify at CMS.
Optometrist · LA JUNTA, CO
Registration Details
- NPI Number
- 1326352212
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2010 (16.013022269523 yrs)
- Last Updated
- Oct 10, 2016
- License
-
2799 (CO)
Practice Information
- Address
-
302 W 3RD STLA JUNTA, CO, 810501430Browse CO providers · Browse ZIP 81050
- Phone
- 7193830134
- Fax
- 7194041825
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in LA JUNTA, CO
| Name | Credential | NPI |
|---|---|---|
| DR. DONALD S. SWANZ | O.D. | 1821046137 |
| DR. GAILA J HILL | O.D. | 1912085499 |
| MRS. SHERRY LYNNE SHEPHERD | — | 1417012956 |
| MR. DAVID MITCHEL BROWN | OD | 1942614813 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.