Ann Ballweg Fontenot, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

06298TG Issued in TX

Practice address

2925 E Broad St
Mansfield, TX 76063-9184

Phone

(817) 477-0223

Fax

(817) 277-9086

NPI assigned

Mar 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

D. Todd Ford, MD PAGroup PAC ID 9638072879, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.32 of 100Reported as group

Quality

100

Improvement activities

40

Cost

77.72

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: afontenot@fordeyectr.direct.eyemdemr.com

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.

• D. Todd Ford, MD PA

  • Specialist
  • Arlington, TX
  • NPI 1538293436
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1144280546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 JOSEPHINE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760174979",
            "telephone_number": "817-563-0022",
            "fax_number": "817-473-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 E BROAD ST",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760639184",
            "telephone_number": "817-477-0223",
            "fax_number": "817-277-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "ANN",
        "middle_name": "BALLWEG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "06298TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin McCabe Fogarty, C.T.R.S.
• Tiffany Bradford Fojtasek, MA
• Jamie Folk
• Gaius B Fomuso
• Amber Renee Fontenot, ATC LAT CSFA OPA-C
• Emily Forbes, FNP-C
• Stacey Ericka Forbes
• Diamond Ford, LMSW
• Foresight Solutions
• Forever Smiles, P.a.

• Optometrist in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.