Zachary Thomas Ford, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2804 Issued in AR

Practice address

113 W Carpenter St
Benton, AR 72015-3317

Phone

(501) 778-2363

Fax

(501) 778-5329

NPI assigned

Jul 16, 2019

Sex

Male

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 AR

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

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

C and R Eye Group PAGroup PAC ID 0042471914, 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.

• C & R Eye Group PA

  • Optometrist
  • Hot Springs, AR
  • NPI 1356616940
  Medicare reassignment Care Compare group
• Simmons Eye Care Clinic, P.a.

  • Optometrist
  • Benton, AR
  • NPI 1598753279
  Medicare reassignment NPD
• Randall L Teague OD PA

  • Optometrist
  • Little Rock, AR
  • NPI 1558677476
  NPD (past)
• SS Eye Group, PLLC

  • Optometrist
  • Little Rock, AR
  • NPI 1992232102
  NPD (past)

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1295387546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W CARPENTER ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153317",
            "telephone_number": "501-778-2363",
            "fax_number": "501-778-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W CARPENTER ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153317",
            "telephone_number": "501-778-2363",
            "fax_number": "501-778-5329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11115 Hermitage Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722113807",
            "country_code": "US",
            "telephone_number": "501-224-7056",
            "fax_number": "501-224-4327",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4328 Central Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "719137204",
            "country_code": "US",
            "telephone_number": "501-525-1348",
            "fax_number": "501-525-3723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "ZACHARY",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delores Renee Flowers
• Bryan Keith Flynn
• Julie Ann Fontenot
• Tori Foot
• Carlisa Ford
• Roshunda Denise Foreman
• Beth Forst
• Anthony Forte
• Tyaun Forte, RECOVERY ADVOCATE
• Jessica Lee Forthman

• Optometrist in Benton, AR
• Providers in Benton, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.