Robert William Ford, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

003180 Issued in NY

Practice address

300 West Ave
Oak Orchard Community Health Center
Brockport, NY 14420

Phone

(585) 637-3905

Fax

(585) 637-4990

NPI assigned

Apr 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oak Orchard Community Health Center, Inc.Group PAC ID 5496746927, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Oak Orchard Community Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Brockport, NY
  • NPI 1598707812
  Medicare reassignment Care Compare group NPD
• Oak Orchard Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Albion, NY
  • NPI 1407453244
  NPD
• Park Sher Optical Co of Buffalo Ny Inc

  • Optometrist
  • Webster, NY
  • NPI 1194791780
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1790749471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 WESTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146181046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WEST AVE",
            "address_2": "OAK ORCHARD COMMUNITY HEALTH CENTER",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "14420",
            "telephone_number": "585-637-3905",
            "fax_number": "585-637-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "003180",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3024",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Ferris, LDO
• Lauren Regina Fery, DPT
• Leslie Ann Fisher
• Brihanna Cari Fitch, NP
• Betsy Lea Fitzpatrick, CCC-SLP
• Tiffany Kay Foreman Majtyka, RN
• Abigail Franco, MD
• Frederick Clasquin DMD P.C.
• Laurie B Ganger, LICSW
• Pankaj Garg, M.D.

• Optometrist in Brockport, NY
• Providers in Brockport, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.

Verify at the official NPI Registry.