Ballantyne Vision Care LLC

NPI #1154994549 in Lamar, Colorado

Provider Information

NPI Number: 1154994549
Entity Type: Organization
Organization Name: Ballantyne Vision Care LLC
Primary Specialty: Optometrist
Enumeration Date: Jul 22, 2021
Last Updated: Jul 22, 2021

Practice Location

Address: 1607 S MAIN ST
City: Lamar
State: Colorado
ZIP Code: 81052-3825
Phone: (719) 336-3311

Authorized Official

Name: JORDAN BRETT BALLANTYNE, OD
Title: OWNER
Phone: (719) 383-0134

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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