Organization Active NPI

Dr. Gary L. Ford & Dr. John D. Edwards

  • Optometrist
  • Elk City, OK
National Provider Identifier
1124036389
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
813 AND 958 Issued in OK
Legal business name
DR. GARY L. FORD & DR. JOHN D. EDWARDS
Practice address
101 N Randall Ave
Elk City, OK 73644-5231
Phone
(580) 225-1980
Fax
(580) 225-8648
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gary L Ford, O.D.
Title
Co-Owner
Phone
(580) 225-1980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 813 AND 958 OK Primary

Addresses

Primary practice location

101 N Randall Ave
Elk City, OK 73644-5231

Mailing address

PO Box 624
Elk City, OK 73648-0624
Phone (580) 225-1980

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124036389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 624",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736480624",
            "telephone_number": "580-225-1980",
            "fax_number": "580-225-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N RANDALL AVE",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445231",
            "telephone_number": "580-225-1980",
            "fax_number": "580-225-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GARY L. FORD & DR. JOHN D. EDWARDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "580-225-1980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "813   AND   958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.