Individual provider Active NPI

Michael Edward Ford, O.D.

  • Optometrist
  • Martinsville, VA
National Provider Identifier
1922008952
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001222 Issued in VA
Practice address
1975 Virginia Ave
Martinsville, VA 24112-8388
Phone
(276) 647-3937
Fax
(276) 647-3990
NPI assigned
Aug 1, 2005
Sex
Male
Sole proprietor
Yes

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 0618001222 VA Primary

Addresses

Primary practice location

1975 Virginia Ave
Martinsville, VA 24112-8388

Mailing address

1975 Virginia Ave
Martinsville, VA 24112-8388
Phone (276) 647-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20100831000486 VA Practitioner - Optometry 9133243900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Friedrichs Family Eye Center PCGroup PAC ID 0749268837, 7 clinicians

Practice addresses (Care Compare)

1975 Virginia Ave
Martinsville, VA 24112-8388
Phone (276) 647-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001222VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Friedrichs Family Eye Center PC Optometrist Current Accepting new patients
Friedrichs Family Eye Center PC Optometrist CurrentSince Sep 23, 2023 Accepting new patients
Friedrichs Family Eye Center PC Optometrist CurrentSince Sep 23, 2023 Accepting new patients
New York Dermatology, PC PastSince Apr 21, 2009 Accepting new patients
Khawaja Ali Hassan, Physician, PC Past Accepting new patients

Locations

723 Piney Forest Rd
Danville, VA 24540
Phone (434) 797-2828

1975 Virginia Ave
Martinsville, VA 24112
Phone (276) 647-3937

395 S Main St
Rocky Mount, VA 24151
Phone (540) 483-0284

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12622/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mef@friedrichsfamilyeyecenter.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1922008952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 VIRGINIA AVE",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241128388",
            "telephone_number": "276-647-3937",
            "fax_number": "276-647-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 VIRGINIA AVE",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241128388",
            "telephone_number": "276-647-3937",
            "fax_number": "276-647-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

Verify at the official NPI Registry.