Edward Ford

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100217 Issued in ID

Practice address

2139 Village Park Ave Ste 100
Twin Falls, ID 83301

Phone

(208) 736-2020

Fax

(208) 734-8393

NPI assigned

Aug 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, ID2 enrollments

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 2

Specialty

Optometry

Education

New England College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ford Family Eye Care, P.C.Group PAC ID 6002077559, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edward.ford@uprisedirect.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.

• Ford Family Eye Care, P.C.

  • Optometrist
  • Twin Falls, ID
  • NPI 1144509084
  Medicare reassignment Care Compare group NPD Authorized official
• Ford Family Eye Care, P.C.

  • Optometrist
  • Villa Rica, GA
  • NPI 1760598957
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1295746840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 VILLAGE PARK AVE STE 100",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014491",
            "telephone_number": "208-736-2020",
            "fax_number": "208-734-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 VILLAGE PARK AVE STE 100",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "83301",
            "telephone_number": "208-736-2020",
            "fax_number": "208-734-8393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 Falls Ave E",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833013455",
            "country_code": "US",
            "telephone_number": "208-736-2020",
            "fax_number": "208-734-8393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1869",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greggory Stan Flint, DO
• Savannah Hope Flores
• Flourish Mental Health
• Ford Family Eye Care, P.C.
• Deanne Ford, LMSW
• Tonya R Ford, O.D.
• Form First Rehab and Athletics
• Makena Forster, OTD
• Brian W Fortuin, M.D.
• Brandon Fowler

• Optometrist in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.