AMANDA M BALLARD (NPI# 1285969055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285969055 |
| Entity Type | Individual |
| Full Name | AMANDA M BALLARD |
| Other Name | AMANDA M MATTINGLY |
| Credential | OD |
| Practice Address |
325 W Walnut St Ste400 Lebanon KY 40033-1377 |
| Mailing Address |
5855 Reliable Pkwy Chicago IL 60686-0001 |
| Practice Telephone | 5029552020 |
| Practice Fax Number | 5027364490 |
| Mailing Telephone | 5029552020 |
| Mailing Fax Number | 5027364490 |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2010-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1792DT | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100110940 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801112362 | Amanda Lynn Ballard | Massage Therapist | 5710 Sw Daisy St, Port Orchard, WA 98367-7350 | 2010-04-08 |
| 1851546667 | Amanda L Ballard | Counselor | 2600 Humes Rd Ste 100, Janesville, WI 53545 | 2008-11-20 |
| 1164983375 | Amanda Ballard | Physician Assistant | 160 E Artesia St Ste 255, Pomona, CA 91767-2921 | 2019-03-29 |
| Street Address |
325 W WALNUT ST STE400 |
| City | LEBANON |
| State | KY |
| Zip Code | 40033-1377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891798336 | Francis W Southall Jr | Pharmacy | 325 W Walnut St, Ste 500, Lebanon, KY 40033 | 2005-05-28 |
| 1437614120 | Savannah Marie King | Nurse Practitioner | 325 W Walnut St, Lebanon, KY 40033-1377 | 2019-02-06 |
| 1962863407 | Jody Coomer | Nurse Practitioner | 325 W Walnut St, Ste. 600, Lebanon, KY 40033-1377 | 2016-03-11 |
| 1972983559 | Amy Wheatley | Nurse Practitioner | 325 W Walnut St, Ste 600, Lebanon, KY 40033-1377 | 2015-06-09 |
| 1093156929 | Monica B Strenecky | Nurse Practitioner | 325 W Walnut St, Suite 600, Lebanon, KY 40033-1377 | 2013-07-08 |
| 1932410958 | Laura L Mccain | Nurse Practitioner | 325 W Walnut St, Suite 600, Lebanon, KY 40033-1377 | 2010-06-24 |
| 1316263304 | Daniel V. Hunt, Md., P.s.c. | Orthopaedic Surgery | 325 W Walnut St, Suite 100, Lebanon, KY 40033-1377 | 2010-04-15 |
| 1073799268 | Bluegrass Eye Surgery Psc | Ophthalmology | 325 W Walnut St, Suite 400, Lebanon, KY 40033-1377 | 2008-01-17 |
| 1497871859 | Southall Pharmacy Pllc | Durable Medical Equipment & Medical Supplies | 325 W Walnut St, Suite 500, Lebanon, KY 40033-1377 | 2007-03-21 |
| 1710055041 | Gary Nathanael Wortz | Ophthalmology | 325 W Walnut St, Suite 400, Lebanon, KY 40033-1377 | 2006-12-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636311 | One Cross Health Clinic, Inc. | Clinic/Center | 305 Koehler Drive, Lebanon, KY 40033 | 2018-10-30 |
| 1467848952 | Kelly Renee Deatley | Family Medicine | 325 W Walnut St Ste 600, Lebanon, KY 40033 | 2015-04-10 |
| 1003204892 | Mmhh, LLC | Clinic/Center | 135 E. Martin Luther King Ave., Lebanon, KY 40033 | 2014-12-31 |
| 1194964510 | Gregory W. Schall, Do, Pllc | Family Medicine | 312 W High Street, Lebanon, KY 40033 | 2009-02-09 |
| 1780859553 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2136 Campbellsville Road, Lebanon, KY 40033 | 2008-04-23 |
| 1144491234 | William Duley IIi | Dentist | 219 West Main St, Lebanon, KY 40033 | 2008-03-17 |
| 1891965927 | Dana Michelle Logsdon | Nurse Practitioner | 727 W. Main St., Lebanon, KY 40033 | 2008-03-05 |
| 1669523684 | The Childrens Clinic, Pllc. | Pediatrics | 420 Loretta Road, Lebanon, KY 40033 | 2007-01-16 |
| 1215022348 | Marion County Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 320 Loretto Road, Lebanon, KY 40033 | 2006-10-04 |
| 1568479426 | Daniel Earl Bailey Jr. | Specialist | 420 Loretto Rd, Suite 600, Lebanon, KY 40033 | 2006-08-02 |
| Find all providers in zip 40033 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639731250 | Caitlin Squires | Optometrist | 90 Market St Ste 20, Lebanon, OR 97355-2396 | 2019-07-03 |
| 1083100424 | Myeyedr Optometry of Indiana, LLC | Optometrist | 2705 N Lebanon St Ste 230, Lebanon, IN 46052-8627 | 2018-07-09 |
| 1184118747 | Brian Swoyer | Optometrist | 758 Cumberland St, Lebanon, PA 17042-5247 | 2018-06-18 |
| 1841727286 | Tyler Ross Boone | Optometrist | 404 N Castle Heights Ave Ste A, Lebanon, TN 37087-1512 | 2017-05-16 |
| 1104255942 | Eyecare Indiana | Optometrist | 1202 N Lebanon St, Lebanon, IN 46052-1510 | 2013-11-02 |
| 1407160120 | Mascoma Eyecare | Optometrist | 24 Hanover Street, Suite 3a, Lebanon, NH 03766-1334 | 2010-08-05 |
| 1063654838 | Independence Corporation | Optometrist | 905 E Cumberland St, Lebanon, PA 17042-8102 | 2009-03-25 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
| 1659407989 | Melissa Sue Kerby | Optometrist | 1001 Monroe Rd, Lebanon, OH 45036-1414 | 2007-02-23 |
| 1144378480 | William Grant IIi | Optometrist | 19595 Houston Rd, Lebanon, MO 65536-8252 | 2007-01-05 |
| Find all providers in LEBANON | ||||
Please comment or provide details below to improve the information on AMANDA M BALLARD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.