Henry B. Ford, OD

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

HENRY B. FORD, OD

Practice address

1022 E Stuart Dr
Galax, VA 24333-2512

Phone

(276) 236-4122

Fax

(276) 236-6060

NPI assigned

Feb 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Henry B Ford, OD

Title

Owner

Phone

(276) 236-4122

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1295913986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 E STUART DR",
            "address_2": "P.O. BOX 715",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332512",
            "telephone_number": "276-236-4122",
            "fax_number": "276-236-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 E STUART DR",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332512",
            "telephone_number": "276-236-4122",
            "fax_number": "276-236-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY B. FORD, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-236-4122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "088201",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Galax, VA
• Providers in Galax, VA by specialty
• Eyewear Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.