Individual
DR. BLAIR M BALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1659 E 6TH ST, SUITE A, BEAUMONT, CA 92223-2509
(951) 845-0272
(951) 845-0143
Mailing address
1659 E 6TH ST, SUITE A, BEAUMONT, CA 92223-2509
(951) 845-0272
(951) 845-0143
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SD0084220 TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0084220
—
CA
Enumeration date
01/25/2007
Last updated
06/11/2010
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