Individual provider Active NPI

Bret B Ford, OD

  • Optometrist
  • Kerrville, TX
National Provider Identifier
1114900990
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5121T Issued in TX
Practice address
714 Hill Country Drive
Kerrville, TX 78028-6066
Phone
(830) 315-3673
Fax
(830) 315-3939
NPI assigned
Nov 25, 2005
Last updated
Jun 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5121T TX Primary

Addresses

Primary practice location

714 Hill Country Drive
Kerrville, TX 78028-6066

Mailing address

714 Hill Country Drive
Kerrville, TX 78028-6066
Phone (830) 315-3673

Other identifiers 1

IdentifierTypeStateIssuer
041011003MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100811000089 TX Practitioner - Optometry 7911898275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bret Ford Eye Care PCGroup PAC ID 1658530647, 2 clinicians

Practice addresses (Care Compare)

714 Hill Country Dr
Kerrville, TX 78028-6066
Phone (830) 315-3673

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5121TXMDChiropractor
5121TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bret Ford Eye Care PC Optometrist CurrentSince Aug 3, 2011 Accepting new patients
Tilley Eye Care Centers LLC Optometrist PastSince Apr 1, 2001 Accepting new patients

Locations

714 Hill Country Dr
Kerrville, TX 78028
Phone (830) 315-3673

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1114900990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 HILL COUNTRY DRIVE",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286066",
            "telephone_number": "830-315-3673",
            "fax_number": "830-315-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 HILL COUNTRY DRIVE",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286066",
            "telephone_number": "830-315-3673",
            "fax_number": "830-315-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "BRET",
        "middle_name": "B",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5121T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041011003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.