NPIMap

Organization Active NPI

Dr. Jeffery B. Ford and Assoc.,LLC

  • Optometrist
  • Montgomery, AL
National Provider Identifier
1649423971
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S 910 TA 465 Issued in AL
Legal business name
DR. JEFFERY B. FORD AND ASSOC.,LLC
Practice address
1963 Walnut St
Montgomery, AL 36106-1532
Phone
(334) 230-9694
Fax
(334) 230-9697
NPI assigned
Oct 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Dr. Jeffery Brian Ford, O.D.
Title
President
Phone
(334) 230-9694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S 910 TA 465 AL Primary

Addresses

Primary practice location

1963 Walnut St
Montgomery, AL 36106-1532

Mailing address

1963 Walnut St
Montgomery, AL 36106-1532
Phone (334) 230-9694

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1649423971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1963 WALNUT ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061532",
            "telephone_number": "334-230-9694",
            "fax_number": "334-230-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 WALNUT ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061532",
            "telephone_number": "334-230-9694",
            "fax_number": "334-230-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JEFFERY B. FORD AND ASSOC.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-230-9694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S 910 TA 465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.