Ballantyne Vision Care LLC

NPI #1306146121 in La Junta, Colorado

Provider Information

NPI Number
1306146121
Entity Type
Organization
Organization Name
Ballantyne Vision Care LLC
Primary Specialty
Optometrist
Enumeration Date
Oct 26, 2010
Last Updated
Oct 10, 2016

Practice Location

Address
302 W 3RD ST
ZIP Code
81050-1430
Phone
(719) 383-0134

Authorized Official

Name
DR. JORDAN BALLANTYNE, O.D.
Title
OPTOMETRIST, OWNER
Phone
(719) 383-0134

Specialties & Taxonomy Codes

Specialty
Optometrist

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