Individual provider Active NPI

Reagan Lee Ford II, O.D.

  • Optometrist
  • Columbus, MS
National Provider Identifier
1902826696
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
651 Issued in MS
Practice address
522 Alabama St
Columbus, MS 39702-5306
Phone
(662) 327-7271
Fax
(888) 611-8850
NPI assigned
Jul 19, 2006
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 651 MS Primary

Addresses

Primary practice location

522 Alabama St
Columbus, MS 39702-5306

Mailing address

522 Alabama St
Columbus, MS 39702-5306
Phone (662) 327-7271

Other practice location 1

2082 Yorkville Rd E
Columbus, MS 39702-9406
Phone (662) 327-7271

Other practice location 2

81 Windsor Blvd
Columbus, MS 39702-3143
Phone (662) 327-7271

Other practice location 3

310 Emerald Dr
Columbus, MS 39702-5526
Phone (662) 327-7271

Other identifiers 1

IdentifierTypeStateIssuer
00880151MedicaidMS

Other names 1

  • Dr. Lee Ford Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL2 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
I20070329000630 MS Practitioner - Optometry 5991809014 Reassigns benefits to 1 organization
I20260306003474 AL Practitioner - Optometry 5991809014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

112 5TH St NE
Aliceville, AL 35442-2200
Phone (662) 327-7271

522 Alabama St
Columbus, MS 39702-5306
Phone (662) 327-7271

Merit-based Incentive Payment System (MIPS)

Final score
67.05 of 100Reported as individual
Quality
34.52
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
651MSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gtrec, Inc. Optometrist CurrentSince Apr 1, 2014 Accepting new patients
Muddy Water Enterprises, LLC Optometrist PastSince Jul 18, 2012 Accepting new patients
Eyedeal Optical Cleveland LLC Optometrist PastSince Sep 11, 2006 Accepting new patients

Locations

1913 Highway 45 N
Columbus, MS 39705
Phone (662) 328-1918

2082 Yorkville Rd E
Columbus, MS 39702
Phone (662) 327-7271

310 Emerald Dr
Columbus, MS 39702
Phone (662) 244-8823

522 Alabama St
Columbus, MS 39702
Phone (662) 327-7271

Interoperability endpoints

  • Direct secure messaging: drford@goldentriangleeyeclinic.direct.eyemdemr.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1902826696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 ALABAMA ST",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397025306",
            "telephone_number": "662-327-7271",
            "fax_number": "888-611-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 ALABAMA ST",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397025306",
            "telephone_number": "662-327-7271",
            "fax_number": "888-611-8850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2082 Yorkville Rd E",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397029406",
            "country_code": "US",
            "telephone_number": "662-327-7271",
            "fax_number": "888-611-8850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "81 Windsor Blvd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397023143",
            "country_code": "US",
            "telephone_number": "662-327-7271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Emerald Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "MS",
            "postal_code": "397025526",
            "country_code": "US",
            "telephone_number": "662-327-7271",
            "fax_number": "888-611-8850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORD",
        "first_name": "REAGAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880151",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEE",
            "last_name": "FORD",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, MS

Sources for this page

Verify at the official NPI Registry.