John M Ford, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

C003655-1 Issued in NY

Practice address

41 Main St
Silver Creek, NY 14136-1416

Phone

(716) 934-3030

Fax

(716) 934-4960

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Silver Creek Optical Inc.

  • Optician
  • Silver Creek, NY
  • NPI 1821121898
  NPD (past) Authorized official
• Silver Creek Optical Care, LLC

  • Optician
  • Silver Creek, NY
  • NPI 1881194017
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932295847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MAIN STREET",
            "address_2": "P.O. BOX 109",
            "city": "SILVER CREEK",
            "state": "NY",
            "postal_code": "141360109",
            "telephone_number": "716-934-3030",
            "fax_number": "716-934-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MAIN ST",
            "city": "SILVER CREEK",
            "state": "NY",
            "postal_code": "141361416",
            "telephone_number": "716-934-3030",
            "fax_number": "716-934-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C003655-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00610619",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Vara Dohman-Kehrer
• John Donovan, R.PH.
• Olina M Dulak, DDS
• Heather Nicole Eckstrom, BCBA, LBA
• David L. Farrugia, ED.D.
• Fresh Start Mental Health Counseling PLLC
• Rachel Anne Galenda, PHARM D.
• Great Lakes Physician Practice PC
• Matthew Steven Haintz
• Gina Hallmark

• Optician in Silver Creek, NY
• Providers in Silver Creek, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.