Organization
DR. BLAIR M BALL OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURIE LYN BALL (MANAGER)
(951) 845-0272
Entity
Organization
Contact information
Practice address
1659 E 6TH ST, SUITE A, BEAUMONT, CA 92223-5765
(951) 845-0272
(951) 845-0143
Mailing address
1659 E 6TH ST, SUITE A, BEAUMONT, CA 92223-5765
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 8422 TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0084220
—
CA
Enumeration date
07/18/2012
Last updated
04/27/2015
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