Ford Vision Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

License

466 Issued in MS

Legal business name

FORD VISION CLINIC

Practice address

706F Highway 12 W
Starkville, MS 39759-3573

Phone

(662) 323-0571

Fax

(662) 323-6365

NPI assigned

Feb 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Reagan L Ford Sr., O.D.NPI 1124048277

Title

Doctor/Owner

Phone

(662) 323-0571

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reagan Lee Ford Sr., O.D.

  • Optometrist
  • Starkville, MS
  • NPI 1124048277
  NPD (past) Authorized official
• Tindall Dawkins Morrison, OD

  • Optometrist
  • Starkville, MS
  • NPI 1053833541
  NPD (past)

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1689852055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706F HIGHWAY 12 W",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593573",
            "telephone_number": "662-323-0571",
            "fax_number": "662-323-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706F HIGHWAY 12 W",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593573",
            "telephone_number": "662-323-0571",
            "fax_number": "662-323-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD VISION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "REAGAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "662-323-0571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087840",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loretta Fields, MS
• First Priority Healthcare
• Elizabeth Caroline Fiser
• Barbara Ann Fleetwood, M.D.
• Anita Foote, MS
• Reagan Lee Ford Sr., O.D.
• Joshua Davis Fowler
• Fox Rehab Agency Ms LLC
• Ewaldson Francois
• Michael Cooke Franklin, PHARMD

• Optometrist in Starkville, MS
• Providers in Starkville, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.