MARK W BALLES M.D. NPI 1780654392

NPI Information

NPI: 1780654392
Provider Name: MARK W BALLES, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
195 FORE RIVER PKWY STE 480
PORTLAND, ME
ZIP 04102
Phone: (207) 773-3937
Get Directions

Mark W Balles, M.D. is an ophthalmology in Portland, ME. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. Mark W Balles, M.D. NPI is 1780654392. 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:

195 FORE RIVER PKWY STE 480
PORTLAND, ME
ZIP 04102-787
Phone: (207) 773-3937
Fax: (207) 773-0801

The NPI 1780654392 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/25/2006 and was last updated on 1/7/2010.

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
1	207W00000X	Ophthalmology		014047	MAINE	Yes

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
1	033680	OTHER	MAINE	BCBS STAR NUMBER
2	R0007	OTHER	MAINE	BCBS GROUP NUMBER
3	130920000	MEDICAID	MAINE
4	MM5852	MEDICARE ID-TYPE UNSPECIFIED	MAINE	MEDICARE PROVIDER NUMBER
5	298300099	MEDICAID	MAINE
6	01-0512852	OTHER	MAINE	TAX ID NUMBER
7	C59305	MEDICARE UPIN	MAINE

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

NPI Synchronization or Removal

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