Bret Ford Eye Care PC
Organization Active NPI Optometrist · Kerrville, TX
NPI 1710256367 · NPPES record last updated Jan 27, 2012
Key facts
- NPI
- 1710256367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 5121T (TX)
- Legal business name
- BRET FORD EYE CARE PC
- Practice address
- 714 Hill Country Drive
Kerrville, TX 78028-6066 - Phone
- (830) 315-3673
- Fax
- (830) 315-3939
- NPI assigned
- Dec 27, 2011
- Organization subpart
- No
Authorized official
- Name
- Bret Ford
- Title
- Owner/Optometrist
- Phone
- (830) 315-3673
Practitioners 2
-
Bret B Ford, OD
-
Layne Mari Ford, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120402000457 | TX | Part B Supplier - Clinic/Group Practice | 1658530647 |
Receives reassigned benefits from 2 practitioners Practice locations: Kerrville, TX |
National Provider Directory
Locations
714 Hill Country Dr
Kerrville, TX 78028
Phone (830) 315-3673
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 5121T | TX | Yes |
Addresses
Primary practice location
714 Hill Country Drive
Kerrville, TX 78028-6066
Mailing address
714 Hill Country Drive
Kerrville, TX 78028-6066
Phone (830) 315-3673
Other names
- Ford Eye Care Center
Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.