IndividualActive
Amanda Ballard, OD
NPI 1285969055 · Optometrist · Lebanon, KY
Provider details
- NPI number
- 1285969055
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 1792DT (KY)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
325 W Walnut St
Ste400
Lebanon, KY 40033-1377
Phone: (502) 955-2020
Fax: (502) 736-4490
Approximate (ZIP-level) locationGet directions
Mailing address
5855 Reliable Pkwy
Chicago, IL 60686-0001
Registry dates
- Enumerated
- 2009-10-12
- Last updated
- 2010-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.