Provider Demographics
NPI:1548473390
Name:BALL, ELIZABETH A (OD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:BALL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6870 S RAINBOW BLVD STE 109-110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-2106
Mailing Address - Country:US
Mailing Address - Phone:702-833-1260
Mailing Address - Fax:702-614-4829
Practice Address - Street 1:6870 S RAINBOW BLVD STE 109-110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-2106
Practice Address - Country:US
Practice Address - Phone:702-833-1260
Practice Address - Fax:702-614-4829
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2021-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13207152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management