Healthcare Provider Details

I. General information

NPI: 1699850008
Provider Name (Legal Business Name): STEVEN ROY BALLARD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3575 PECOS MCLEOD
LAS VEGAS NV
89121-3803
US

IV. Provider business mailing address

3575 PECOS MCLEOD
LAS VEGAS NV
89121-3803
US

V. Phone/Fax

Practice location:
  • Phone: 702-731-2088
  • Fax: 702-734-7836
Mailing address:
  • Phone: 702-731-2088
  • Fax: 702-734-7836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0110X
TaxonomyPediatric Ophthalmology and Strabismus Specialist Physician
License NumberDR0045277
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number28729
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: