Reagan Lee Ford Sr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

466 Issued in MS

Practice address

706F Highway 12 W
Starkville, MS 39759-3573

Phone

(662) 323-0571

Fax

(662) 323-6365

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Specialty

Optometry

Education

Southern College of Optometry, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JTM Enterprises, PLLCGroup PAC ID 7911256656, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• JTM Enterprises, PLLC

  • Optometrist
  • Starkville, MS
  • NPI 1295220101
  Medicare reassignment Care Compare group NPD
• Gtrec, Inc.

  • Optometrist
  • Columbus, MS
  • NPI 1982906509
  Medicare reassignment NPD
• Ford Vision Clinic

  • Optometrist
  • Starkville, MS
  • NPI 1689852055
  NPD (past) Authorized official
• Eyedeal Optical Outlet Inc.

  • Optometrist
  • Starkville, MS
  • NPI 1881810729
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124048277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706F HIGHWAY 12 W",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593573",
            "telephone_number": "662-323-0571",
            "fax_number": "662-323-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706F HIGHWAY 12 W",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593573",
            "telephone_number": "662-323-0571",
            "fax_number": "662-323-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "REAGAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087840",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Priority Healthcare
• Elizabeth Caroline Fiser
• Barbara Ann Fleetwood, M.D.
• Anita Foote, MS
• Ford Vision Clinic
• Joshua Davis Fowler
• Fox Rehab Agency Ms LLC
• Ewaldson Francois
• Michael Cooke Franklin, PHARMD
• Rachel Clair Franklin, LPC, CHES, BC-TMH

• Optometrist in Starkville, MS
• Providers in Starkville, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.