KENNETH H. BALLENTINE OD INC. NPI 1649448507

NPI Information

  • NPI: 1649448507
  • Provider Name: KENNETH H. BALLENTINE OD INC.
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Address: 5275 PROSPECT RD
    SAN JOSE, CA
    ZIP 95129
  • Phone: (408) 255-0576

Map and Directions

Get Directions

NPI Details

KENNETH H. BALLENTINE OD INC. is an eyewear supplier in San Jose, CA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. KENNETH H. BALLENTINE OD INC. NPI is 1649448507. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5275 PROSPECT RD
SAN JOSE, CA
ZIP 95129-031
Phone: (408) 255-0576

The provider's authorized official is Kenneth H Ballentine .
The authorized official title is Doctor and has the following contact phone number (408) 255-0576.

The enumeration date for this NPI number is 2/13/2008 and was last updated on 9/6/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist6863TCALIFORNIANo
2332H00000XEyewear Supplier6863TCALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10154770001MEDICARE NSCCALIFORNIA
2T10429MEDICARE UPIN
3SD0068630MEDICAIDCALIFORNIA
4FS797AMEDICARE PIN

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI