Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth H. Ballentine OD Inc

Organization Optometrist · NPI 1649448507

Kenneth H. Ballentine OD Inc is an Optometrist in San Jose, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5275 Prospect Rd
San Jose, CA 95129-5031
Phone: (408) 255-0576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence 6863T (CA)
Optometrist Taxonomy 152W00000X · Licence 6863T (CA)

Record details

NPI number1649448507
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Ballentine — Doctor · (408) 255-0576
NPI enumeratedFebruary 13, 2008
Last updated in NPPESSeptember 6, 2012
Mailing address5275 Prospect Rd, San Jose, CA 95129-5031

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