Scott B. Ford, LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007970 Issued in IL

Legal business name

SCOTT B. FORD, LTD

Doing business as

Scott B. Ford, LTD

Practice address

5630 W Touhy Ave
Niles, IL 60714-4001

Phone

(847) 647-8970

NPI assigned

Jul 19, 2018

Last updated

Jul 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott B FordNPI 1720194830

Title

President

Phone

(847) 772-1904

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Scott B. Ford, LTD Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott B Ford, O.D.

  • Optometrist
  • Niles, IL
  • NPI 1720194830
  Authorized official Same address or phone

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1154807428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 563",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600760563",
            "telephone_number": "847-772-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 W TOUHY AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144001",
            "telephone_number": "847-647-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT B. FORD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-772-1904",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720194830",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott B. Ford, LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jean Schmidt, M.S., CF-SLP
• Sheri L Schreiber, MD
• Anna Schuermann
• Amy Schultz
• Joel Schwartz, DO
• Alessandra Anna Secco, M.D.
• Elizabeth Seim, PT, DPT
• Jung H Seo, D.C.
• Mia Myoungah Seo
• Serenity Home Healthcare LLC - Series a

• Optometrist in Niles, IL
• Providers in Niles, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.