Organization
MELISSA BALL
Active
Other names
Professionals in Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BALL O.D. (OWNER/OPTOMETRIST)
(606) 877-6585
Entity
Organization
Contact information
Practice address
356 N MCWHORTER ST, SUITE 1, LONDON, KY 40741-2235
(606) 877-6585
(606) 877-9936
Mailing address
356 N MCWHORTER ST, SUITE 1, LONDON, KY 40741-2235
(606) 877-6585
(606) 877-9936
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7100004960
MEDICAID SPECIAL SERVICES
KY
Enumeration date
12/19/2007
Last updated
12/19/2007
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