Search › Colorado › 152W00000X
Jordan Ballantyne, O.D
NPI 1326352212 · on the registry since 2010
Practice
- Address
- 302 W 3rd St
La Junta, CO 81050 - Phone
- (719) 383-0134
- Fax
- (719) 404-1825
- Organisation at this address
- Ballantyne Vision Care Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado