Individual provider Active NPI

Jeffery Brian Ford Sr., O.D.

  • Optometrist
  • Montgomery, AL
National Provider Identifier
1598843476
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-910 Issued in AL
Practice address
1845 Cherry St
Montgomery, AL 36107-2613
Phone
(334) 420-5001
Fax
(334) 420-0160
NPI assigned
Nov 1, 2006
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-910 AL Primary
Corneal and Contact Management Optometrist 152WC0802X S-910 AL
Pediatric Optometrist 152WP0200X S-910 AL

Addresses

Primary practice location

1845 Cherry St
Montgomery, AL 36107-2613

Mailing address

1845 Cherry St
Montgomery, AL 36107-2613
Phone (334) 420-5001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20081215000095 AL Practitioner - Optometry 5092877704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Services IncGroup PAC ID 1557324811, 30 clinicians

Practice addresses (Care Compare)

1845 Cherry St
Montgomery, AL 36107-2613
Phone (334) 420-5001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-910ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services Inc CurrentSince May 10, 2024 Accepting new patients
Health Services Inc Current Accepting new patients
Dr Charles J Bell and Associates Optometrist Past Accepting new patients
Dr. Jeffery B. Ford and Assoc. LLC Optometrist Past Accepting new patients
Dr. Jeffery B Ford & Assoc. Pediatrics Past Accepting new patients
Dr Mary C Bell and Associates, PC Past Accepting new patients

Locations

107 Medical Center Dr
Clanton, AL 35045
Phone (205) 280-1478

Interoperability endpoints

  • Direct secure messaging: jeffery.ford.1@14429.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1598843476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 CHERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361072613",
            "telephone_number": "334-420-5001",
            "fax_number": "334-420-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 CHERRY ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361072613",
            "telephone_number": "334-420-5001",
            "fax_number": "334-420-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "JEFFERY",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-910",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AL",
            "license": "S-910",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "AL",
            "license": "S-910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.