Active NPI
Troy Slade Ford, O.D.
- Optometrist
- Payson, AZ
National Provider Identifier
1730259227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD790
- Practice address
- 411 S Beeline Hwy
Suite a
Payson, AZ 85541-4892 - Phone
- (928) 474-3556
- Fax
- (928) 474-3161
- NPI assigned
- Nov 9, 2006
- Last updated
- Apr 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD790 | AZ | Primary |
Addresses
Primary practice location
411 S Beeline Hwy
Suite a
Payson, AZ 85541-4892
Mailing address
411 S Beeline Hwy
Suite a
Payson, AZ 85541-4892
Phone (928) 474-3556
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101254-01 | Medicaid | AZ | |
| 1275722498 | Other | AZ | DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
411 S Beeline Hwy a
Payson, AZ 85541-4892
Phone (928) 474-3556
Merit-based Incentive Payment System (MIPS)
- Final score
- 57.5 of 100
- Quality
- 15
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 106 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD790 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Troy S Ford OD PC | Optometrist | Current | Accepting new patients |
| Payson Eye Care Center | Optometrist | Current | Accepting new patients |
| Ryan C Stuart OD PC | Optometrist | Past | Accepting new patients |
Locations
411 S Beeline Hwy
Ste A
Payson, AZ 85541
Phone (928) 474-3556
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207526400000",
"number": "1730259227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 S BEELINE HWY",
"address_2": "SUITE A",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855414892",
"telephone_number": "928-474-3556",
"fax_number": "928-474-3161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 S BEELINE HWY",
"address_2": "SUITE A",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855414892",
"telephone_number": "928-474-3556",
"fax_number": "928-474-3161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "TROY",
"middle_name": "SLADE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2008-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OD790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101254-01",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "1275722498",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Payson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.