Active NPI
Diana Gail Ford, O.D.
- Optometrist
- Canton, GA
National Provider Identifier
1811273899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2635
- Practice address
- 1550 Riverstone Pkwy
Canton, GA 30114-2918 - Phone
- (770) 720-1023
- NPI assigned
- Oct 23, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 2635 | GA | Primary |
Addresses
Primary practice location
1550 Riverstone Pkwy
Canton, GA 30114-2918
Mailing address
108 Linkside CT
Woodstock, GA 30189-2515
Phone (770) 557-5869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2635 | GA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1811273899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 LINKSIDE CT",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301892515",
"telephone_number": "770-557-5869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 RIVERSTONE PKWY",
"city": "CANTON",
"state": "GA",
"postal_code": "301142918",
"telephone_number": "770-720-1023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "DIANA",
"middle_name": "GAIL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-23",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "2635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.