Dr Jeremy B Ball Od INC

Optometrist in Beaumont, CA. Organization (NPI-2).

NPI number1669968053

StatusActive

Last updated in NPPESJul 10, 2018

Details

NPI: 1669968053
Entity type: Organization (NPI-2)
Legal business name: Dr Jeremy B Ball Od INC
Organization subpart: No
Enumeration date: Jul 9, 2018
Last updated: Jul 10, 2018

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
152W00000X	Optometrist	–	–	Yes

Practice location

1659 E 6th St Ste A
Beaumont, CA 92223

Phone 951-845-0272

Mailing address

35430 Tresa Ln
Yucaipa, CA 92399-3232

Phone 951-235-4345

Other practice locations

1850 N Riverside Ave
Rialto, CA 92376-8071

Phone 909-875-1144

Authorized official

Jeremy Ball
Chief Executive Officer
9512354345

Is something wrong?

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Other Optometrist providers in Beaumont, CA

All 13 Optometrist providers in Beaumont · All 555 providers in Beaumont

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