Active NPI
Ford Optometry, LLC
- Optometrist
- Kalamazoo, MI
National Provider Identifier
1194967182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901004126
- Legal business name
- FORD OPTOMETRY, LLC
- Practice address
- 501 N 9TH St
Kalamazoo, MI 49009-6594 - Phone
- (269) 544-2952
- NPI assigned
- Apr 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gina T. Ford, O.D.
- Title
- President
- Phone
- (269) 569-0683
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901004126 | MI | Primary |
Addresses
Primary practice location
501 N 9TH St
Kalamazoo, MI 49009-6594
Mailing address
8361 Charlevoix St
Kalamazoo, MI 49009-3988
Phone (269) 569-0683
National Provider Directory
National Provider DirectoryLocations
501 N 9th St
Kalamazoo, MI 49009
Phone (269) 544-2943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441843200000",
"number": "1194967182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8361 CHARLEVOIX ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490093988",
"telephone_number": "269-569-0683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N 9TH ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490096594",
"telephone_number": "269-544-2952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORD OPTOMETRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-06",
"last_updated": "2015-09-10",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "GINA",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "269-569-0683",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MI",
"license": "4901004126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.