Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 6059T | TX |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 6059T | TX |
N | 152WL0500X | Optomitrist - Low Vision Rehabilitation | 6059T | TX |
N | 152WP0200X | Pediatric Optomitrist | 6059T | TX |
N | 152WV0400X | Optomitrist - Vision Therapist | 6059T | TX |
N | 152WX0102X | Occupational Vision | 6059T | TX |
NPI | 1154338499 |
---|---|
Provider Name | Dr. Eric V Ball |
First Address | Argyle, TX 76226-2358 |
Second Address | Argyle, TX 76226 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 30/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00140S | MEDICARE PTIN (01) | TX |
U87460 | (02) | TX |