Dr. Jeffery B. Ford and Assoc. LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

S 910 TA 465 Issued in AL

Legal business name

DR. JEFFERY B. FORD AND ASSOC. LLC

Practice address

1501 Al Highway 14 E
Selma, AL 36703-3201

Phone

(334) 874-8357

NPI assigned

Aug 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jeffery B Ford, O.D.NPI 1598843476

Title

President

Phone

(334) 230-9694

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Dr Jeffery B Ford and Assocllc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dr. Jeffery B Ford & Assoc.

  • Pediatric Optometrist
  • Selma, AL
  • NPI 1912179565
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffery Brian Ford Sr., O.D.

  • Optometrist
  • Montgomery, AL
  • NPI 1598843476
  NPD (past) Authorized official

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1730335050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1963 WALNUT ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061532",
            "telephone_number": "334-230-9694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 AL HIGHWAY 14 E",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367033201",
            "telephone_number": "334-874-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JEFFERY B. FORD AND ASSOC. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-230-9694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S 910 TA 465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529929840",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diabetic Shoppe Inc
• Diversicare of Selma, LLC
• Patrice Noreen Donahue, M.D.
• Doss Home Health Care
• Dr. Jeffery B Ford & Assoc.
• Terry Dunson
• Barbara Debusk Eischens, R.PH.
• ENT Consultants
• Family Footcare, LLC
• Helen Katherine Fancher, CRNP

• Optometrist in Selma, AL
• Providers in Selma, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.