Individual provider Active NPI

Troy Slade Ford, O.D.

  • Optometrist
  • Payson, AZ
National Provider Identifier
1730259227
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD790 Issued in AZ
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
101254-01MedicaidAZ
1275722498OtherAZDMERC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120118000454 AZ Practitioner - Optometry 1153430343 Reassigns benefits to 2 organizations

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
Troy S Ford OD PCGroup PAC ID 1456335702, 2 clinicians

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 100Reported as group
Quality
15
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD790AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Troy S Ford OD PC Optometrist CurrentSince Jul 22, 2002 Accepting new patients
Payson Eye Care Center Optometrist CurrentSince Jul 1, 2025 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.

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

Verify at the official NPI Registry.