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KENNETH H. BALLENTINE OD INC.
NPI 1649448507
Eyewear Supplier in San Jose, CA

Active since February 13, 2008
5275 PROSPECT RD, SAN JOSE, CA 95129(408) 255-0576 Get Directions Write a Review

NPPES record last updated: September 6, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenneth H. Ballentine Od Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH H. BALLENTINE OD INC. (NPI 1649448507) is a healthcare organization registered as an eyewear supplier in San Jose, California and active in the NPI registry since February 2008. The organization lists Kenneth H Ballentine, Doctor, as its authorized official.

NPPES Registry Identity

NPI1649448507
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameKENNETH H. BALLENTINE OD INC.
Location Address5275 PROSPECT RDSan Jose, CA 95129-5031
Mailing Address5275 Prospect RdSan Jose, CA 95129-5031 · (408) 255-0576
Phone(408) 255-0576
Organization SubpartNo
Authorized OfficialKenneth H BallentineDoctor · (408) 255-0576
Enumeration DateFebruary 13, 2008
Last NPPES UpdateSeptember 6, 2012
✔ NPI 1649448507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in CA · 6863T
Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Also ListedOptometristTaxonomy 152W00000X · License 6863T (CA)
5275 PROSPECT RD, San Jose, CA 95129
Open in Google Maps ↗

Other Identifiers 4

Medicare NSC0154770001CA
Medicare UPINT10429
MedicaidSD0068630CA
Medicare PINFS797A

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH H BALLENTINE O.D.
Optometrist
5275 PROSPECT RD
SAN JOSE, CA 95129
Santa Clara County (408) 255-0576

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth H. Ballentine Od Inc.'s NPI number?

The NPI number for Kenneth H. Ballentine Od Inc. is 1649448507. It was assigned to this organization in the NPPES registry on February 13, 2008.

Where is Kenneth H. Ballentine Od Inc. located?

Kenneth H. Ballentine Od Inc. is located at 5275 Prospect Rd, San Jose, CA 95129. The listed phone number is (408) 255-0576.

What is Kenneth H. Ballentine Od Inc.'s specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Kenneth H. Ballentine Od Inc. was last updated on September 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.