Layne Mari Ford, OD
Individual provider Active NPI Optometrist · Kerrville, TX
NPI 1720517477 · NPPES record last updated Jun 8, 2020
Key facts
- NPI
- 1720517477
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 9192 (TX)
- Practice address
- 714 Hill Country Dr
Kerrville, TX 78028-6066 - Phone
- (308) 315-3673
- Fax
- (830) 315-3939
- NPI assigned
- Jun 7, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bret Ford Eye Care PC
Practice addresses (Care Compare)
714 Hill Country Dr
Kerrville, TX 78028-6066
Phone (830) 315-3673
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171228000357 | TX | Practitioner - Optometry | 5193083970 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9192 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bret Ford Eye Care PC | Optometrist | Current |
Accepting new patients |
Locations
714 Hill Country Dr
Kerrville, TX 78028
Phone (830) 315-3673
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9192 | TX | Yes |
Addresses
Primary practice location
714 Hill Country Dr
Kerrville, TX 78028-6066
Mailing address
714 Hill Country Dr
Kerrville, TX 78028-6066
Phone (830) 315-3673
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 Jun 8, 2020. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.