Organization Active NPI

Bret Ford Eye Care PC

Doing business as Ford Eye Care Center

  • Optometrist
  • Kerrville, TX
National Provider Identifier
1710256367
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5121T Issued in TX
Legal business name
BRET FORD EYE CARE PC
Doing business as
Ford Eye Care Center
Practice address
714 Hill Country Drive
Kerrville, TX 78028-6066
Phone
(830) 315-3673
Fax
(830) 315-3939
NPI assigned
Dec 27, 2011
Last updated
Jan 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Bret FordNPI 1114900990
Title
Owner/Optometrist
Phone
(830) 315-3673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5121T TX Primary

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 1

  • Ford Eye Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120402000457 TX Part B Supplier - Clinic/Group Practice 1658530647 Receives reassigned benefits from 2 practitioners
Practice locations: Kerrville, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1710256367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 HILL COUNTRY DRIVE",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286066",
            "telephone_number": "830-315-3673",
            "fax_number": "830-315-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 HILL COUNTRY DRIVE",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286066",
            "telephone_number": "830-315-3673",
            "fax_number": "830-315-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRET FORD EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "BRET",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "830-315-3673"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5121T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ford Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.