Marilu Ford, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

15397 Issued in CA

Practice address

1515 Business Center Dr Ste 4
Fleming Island, FL 32003-4401

Phone

(904) 278-1760

Fax

(904) 278-1730

NPI assigned

Oct 9, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Marilu Greyling Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marilu.ford@direct.revolutionehr.com

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.

• Eyes of Tequesta, PLLC

  • Optometrist
  • Tequesta, FL
  • NPI 1164192753
  Medicare reassignment NPD Authorized official
• Island Eyecare PA

  • Optometrist
  • Fleming Island, FL
  • NPI 1649470766
  Medicare reassignment NPD
• Gulf Coast Optometry, PA

  • Corneal and Contact Management Optometrist
  • Tampa, FL
  • NPI 1083859409
  NPD (past)
• Adam Rosa OD Inc

  • Optometrist
  • Oceanside, CA
  • NPI 1992450027
  NPD (past)
• North Coast Optometry

  • Optometrist
  • Oceanside, CA
  • NPI 1518134246
  NPD (past)

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1871964361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13193 CHRISTINE MARIE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252692",
            "telephone_number": "407-394-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 BUSINESS CENTER DR STE 4",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034401",
            "telephone_number": "904-278-1760",
            "fax_number": "904-278-1730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3915 Mission Ave",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920587801",
            "country_code": "US",
            "telephone_number": "760-757-8771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "MARILU",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5139",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILU",
            "last_name": "GREYLING",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Florida Woman Care,LLC
• Karma B Flotkoetter, BCBA
• Elizabeth Marie Fogle
• Haley Ford, PA-C
• Jenais Ford
• Jennifer E Fordan-Herman, MD
• Stephanie Foresto
• Dawn Forrest, MSN, APRN, FNP-C
• Avery Autumn Foss
• Courtney Foster, BCABA

• Optometrist in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.