Organization Active NPI

Catherine M. Ford, O.D., P.a.

  • Optometrist
  • Lake Park, FL
National Provider Identifier
1447551080
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC002176 Issued in FL
Legal business name
CATHERINE M. FORD, O.D., P.A.
Practice address
1183 Old Dixie Hwy
Suite a
Lake Park, FL 33403-2319
Phone
(561) 848-8784
Fax
(561) 848-6213
NPI assigned
Nov 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Authorized official

Name
Dr. Catherine M. Ford, O.D.
Title
President
Phone
(561) 848-8784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC002176 FL Primary

Addresses

Primary practice location

1183 Old Dixie Hwy
Suite a
Lake Park, FL 33403-2319

Mailing address

1183 Old Dixie Hwy
Suite a
Lake Park, FL 33403-2319
Phone (561) 848-8784

National Provider Directory

National Provider Directory

Locations

1183 Old Dixie Hwy
Ste A
Lake Park, FL 33403
Phone (561) 848-8784

NPI Registry JSON

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

{
    "created_epoch": "1289606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1447551080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 OLD DIXIE HWY",
            "address_2": "SUITE A",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032319",
            "telephone_number": "561-848-8784",
            "fax_number": "561-848-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 OLD DIXIE HWY",
            "address_2": "SUITE A",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032319",
            "telephone_number": "561-848-8784",
            "fax_number": "561-848-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE M. FORD, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-13",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-848-8784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC002176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.