Individual provider Active NPI

Bailey Sheridan Ford, OD

  • Optometrist
  • Newtown, PA
National Provider Identifier
1730854589
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003841 Issued in PA
Practice address
104 Pheasant Run Ste 114
Newtown, PA 18940-3414
Phone
(267) 364-5337
NPI assigned
Aug 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003841 PA Primary

Addresses

Primary practice location

104 Pheasant Run Ste 114
Newtown, PA 18940-3414

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210819002868 PA Practitioner - Optometry 0941605554 Reassigns benefits to 1 organization
I20230620003470 DE Practitioner - Optometry 0941605554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Pennsylvania LLCGroup PAC ID 3971884883, 118 clinicians

Practice addresses (Care Compare)

104 Pheasant Run
Suite 114
Newtown, PA 18940-3414
Phone (267) 364-5337

125 S Antrim Way
Greencastle, PA 17225-1521
Phone (717) 597-4780

2842 S Eagle Rd
Newtown, PA 18940-1543
Phone (215) 579-1155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003841PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Mar 1, 2024 Accepting new patients
Simon Eye Associates PA Optometrist CurrentSince Jun 1, 2023 Accepting new patients
Myeyedr Optometry of Pennsylvania, LLC Optometrist CurrentSince Mar 1, 2024 Accepting new patients

Locations

5301 Limestone Rd
Ste 128
Wilmington, DE 19808

912 N Union St
Wilmington, DE 19805
Phone (302) 655-8180

125 S Antrim Way
Greencastle, PA 17225
Phone (717) 597-4780

104 Pheasant Run
Ste 114
Newtown, PA 18940
Phone (261) 364-5337

2842 S Eagle Rd
Newtown, PA 18940
Phone (215) 579-1155

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1730854589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PHEASANT RUN STE 114",
            "city": "NEWTOWN",
            "state": "PA",
            "postal_code": "189403414",
            "telephone_number": "267-364-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "BAILEY",
        "middle_name": "SHERIDAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, PA

Sources for this page

Verify at the official NPI Registry.