Individual provider Active NPI

Craig A. Ford, O.D.

  • Optometrist
  • Hartford City, IN
National Provider Identifier
1174677330
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002085A Issued in IN
Practice address
315 Huggins Dr
Hartford City, IN 47348-8999
Phone
(765) 348-2020
Fax
(765) 348-2503
NPI assigned
Jan 23, 2007
Last updated
Nov 19, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002085A IN Primary
Low Vision Rehabilitation Optometrist 152WL0500X 18002085A IN

Addresses

Primary practice location

315 Huggins Dr
Hartford City, IN 47348-8999

Mailing address

PO Box 166
Hartford City, IN 47348-0166
Phone (765) 348-2020

Other identifiers 2

IdentifierTypeStateIssuer
410028184OtherINRRMC
100059580MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100913000900 IN Practitioner - Optometry 2769551043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates Group, LLCGroup PAC ID 1850470360, 3 clinicians

Practice addresses (Care Compare)

315 Huggins Dr
Hartford City, IN 47348-8999
Phone (765) 348-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002085AINMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates Group, LLC Optometrist CurrentSince Apr 1, 1996 Accepting new patients

Locations

920 W Walnut St
Albany, IN 47320
Phone (317) 789-4404

315 Huggins Dr
Hartford City, IN 47348
Phone (765) 348-2020

9002 N Meridian St
Ste 109
Indianapolis, IN 46260
Phone (317) 844-0919

Organizations & group practices 1

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1174677330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 166",
            "city": "HARTFORD CITY",
            "state": "IN",
            "postal_code": "473480166",
            "telephone_number": "765-348-2020",
            "fax_number": "765-348-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HUGGINS DR",
            "city": "HARTFORD CITY",
            "state": "IN",
            "postal_code": "473488999",
            "telephone_number": "765-348-2020",
            "fax_number": "765-348-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "CRAIG",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002085A",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "IN",
            "license": "18002085A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "410028184",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100059580",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford City, IN

Sources for this page

Verify at the official NPI Registry.