Organization
BALLANTYNE VISION CARE LLC
Active
Other names
Ark Valley Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN BRETT BALLANTYNE OD (OWNER)
(719) 383-0134
Entity
Organization
Contact information
Practice address
1607 S MAIN ST, LAMAR, CO 81052-3825
(719) 336-3311
(719) 496-1034
Mailing address
1607 S MAIN ST, LAMAR, CO 81052-3825
(719) 336-3311
(719) 496-1034
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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