Organization provider

KENNETH H. BALLENTINE OD INC.

Optometrist Eyewear Supplier Medicare enrolled

KENNETH H. BALLENTINE OD INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1649448507, based in San Jose, CA. The organization lists 2 taxonomy classifications, with Eyewear Supplier recorded as primary.

Getting there

The practice address on file is 5275 PROSPECT RD, San Jose, CA 95129. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

5275 PROSPECT RD, San Jose, CA 95129 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
6863T CA Optometrist
6863T CA Eyewear Supplier primary

This provider holds licence 6863T issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
1557544160
Enrollment ID
O20120130000576

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Eyewear Supplier covers

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. NUCC Health Care Provider Taxonomy, code 332H00000X
Suppliers Eyewear Supplier

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
152W00000X Optometrist 6863T CA
332H00000X Eyewear Supplier 6863T CA primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1649448507 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateFeb 13, 2008
Last updatedSep 6, 2012
StatusActive
Practice address 5275 PROSPECT RD
San Jose, CA 95129
(408) 255-0576
Other identifiers SD0068630 · Medicaid (CA)
This record was last updated on Sep 6, 2012, roughly 13 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1649448507 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 4 9 4 4 8 5 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 8 9 8 4 7 5 0

Sum = 73 · next multiple of 10 = 80 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1649448507?
NPI 1649448507 is the National Provider Identifier assigned to KENNETH H. BALLENTINE OD INC. in San Jose, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Eyewear Supplier cover?
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
How do I contact KENNETH H. BALLENTINE OD INC.?
The phone number on file with NPPES is (408) 255-0576, last updated Sep 6, 2012. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does KENNETH H. BALLENTINE OD INC. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1649448507 a valid number?
Yes. 1649448507 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.