Provider Type Icon

DR. WALTER LEE BALL OD NPI 1811997752


NPI Information

NPI: 1811997752
Provider Name: DR. WALTER LEE BALL, OD
Classification: Optometrist - 152W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
7500 CENTURION PARKWAY
SUITE 100 DACAF
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 443-1383
Get Directions

DR. Walter Lee Ball, OD is an optometrist in Jacksonville, FL. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. DR. Walter Lee Ball, OD NPI is 1811997752. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7500 CENTURION PARKWAY
SUITE 100 DACAF
JACKSONVILLE, FL
ZIP 32256-517
Phone: (904) 443-1383
Fax: (904) 928-5805

The NPI 1811997752 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 7/21/2005 and was last updated on 4/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist4348MASSACHUSETTSNo
2152W00000XOptometrist2141NORTH CAROLINANo
3152W00000XOptometristOPC3639FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W17508MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
20323471MEDICAIDMASSACHUSETTS
3U92255MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.