JENNIFER L. BALO (O.D.) – Optometrist, NPI 1154704070

JENNIFER L. BALO (O.D.) is a healthcare provider. based in Orange park, Florida. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC 5274 (FL). The NPI Number for JENNIFER L. BALO (O.D.) is 1154704070

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER L. BALO (O.D.)
NPI
1154704070
Phone
(904) 562-1160
Address
901 BLANDING BLVD
Enumeration Date
9 July 2015
Last Update Date
16 June 2018

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
9047132020
Graduation Year
2015 (11 years ago)
PAC ID
5597072116
Group Practice PAC ID
5496029654
Professional Enrollment ID
I20170711001813
Address ID
FL322594090SA132XXLNXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,056 OPTOMETRY in FL

Provider Addresses for JENNIFER L. BALO (O.D.)

  • 901 BLANDING BLVD

    ORANGE PARK, FL 320656299

    Phone: (904) 562-1160

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $405.

Total Amount is formed as General ($405) + Research ($0) + Ownership ($0) = $405.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Alcon Vision LLC ($164).

Total Amount

$405

General + Research + Ownership

Payments

12

Total payment records

General Amount

$405

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-07-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170711001813IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32065)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496029654View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

Is JENNIFER L. BALO (O.D.) listed with a National Provider Identifier?
Yes — JENNIFER L. BALO (O.D.) has NPI 1154704070 on file in the registry.
Is JENNIFER L. BALO (O.D.) shown as active in public data?
Registry records indicate JENNIFER L. BALO (O.D.) maintains an active NPI.
What clinical focus is listed for JENNIFER L. BALO (O.D.)?
At a glance, JENNIFER L. BALO (O.D.) is tied to Optometrist. Clinical services aligned with this taxonomy classification.
Is JENNIFER L. BALO (O.D.) located near Orange Park?
JENNIFER L. BALO (O.D.) currently maps to Orange Park, Florida in this extract.
Can I trust this NPI listing for JENNIFER L. BALO (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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