NPIMap

Organization Active NPI

Shane E. Ford OD PA

  • Optometrist
  • Greenbrier, AR
National Provider Identifier
1821801424
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SHANE E. FORD OD PA
Practice address
31 Business Park Drive
Suite a
Greenbrier, AR 72058
Phone
(501) 679-7131
Fax
(501) 679-7130
NPI assigned
Jan 28, 2025
Organization subpart
Yes
Parent organization
SHANE E. FORD, OD, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Kristi Ann Barton
Title
Office Manager
Phone
(501) 329-9851

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

31 Business Park Drive
Suite a
Greenbrier, AR 72058

Mailing address

3005 Fountain Dr
Conway, AR 72034-3684
Phone (501) 329-9851

Other names 1

  • Arkansas Eye Care Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shane E Ford OD PA3 organizations share this tax ID, including this one
Part of
Shane E Ford OD PA

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1821801424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 FOUNTAIN DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343684",
            "telephone_number": "501-329-9851",
            "fax_number": "501-329-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 BUSINESS PARK DRIVE",
            "address_2": "SUITE A",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "72058",
            "telephone_number": "501-679-7131",
            "fax_number": "501-679-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANE E. FORD OD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHANE E. FORD, OD, PA",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-329-9851"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Eye Care Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arkansas Eye Care Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenbrier, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.