Active NPI
Dr. Jeffery B Ford & Assoc.
- Pediatric Optometrist
- Selma, AL
National Provider Identifier
1912179565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Optometrist
- License
- S910 TA465
- Legal business name
- DR. JEFFERY B FORD & ASSOC.
- Practice address
- 1501 Al Highway 14 E
Selma, AL 36703-3201 - Phone
- (334) 230-9694
- NPI assigned
- Mar 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffery B Ford, O.D.
- Title
- President
- Phone
- (334) 230-9694
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Optometrist | 152WP0200X | S910 TA465 | AL | Primary |
Addresses
Primary practice location
1501 Al Highway 14 E
Selma, AL 36703-3201
Mailing address
1963 Walnut St
Montgomery, AL 36106-1532
Phone (334) 230-9694
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529929840 | Medicaid | AL |
National Provider Directory
National Provider Directory- Tax ID family
- Dr Jeffery B Ford and Assocllc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Selma, AL
- NPI 1730335050
Practitioners & affiliated clinicians
Practitioners 1
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": "1206316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206316800000",
"number": "1912179565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1963 WALNUT ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361061532",
"telephone_number": "334-230-9694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 AL HIGHWAY 14 E",
"city": "SELMA",
"state": "AL",
"postal_code": "367033201",
"telephone_number": "334-230-9694"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. JEFFERY B FORD & ASSOC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-24",
"last_updated": "2008-03-24",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "JEFFERY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "334-230-9694",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152WP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Pediatrics",
"state": "AL",
"license": "S910 TA465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529929840",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Selma, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.