Shane E. Ford Od PA

NPI #1033178736 in Conway, Arkansas

Provider Information

NPI Number: 1033178736
Entity Type: Organization
Organization Name: Shane E. Ford Od PA
Primary Specialty: Optometrist
Enumeration Date: Mar 21, 2006
Last Updated: Jan 7, 2025

Practice Location

Address: 3005 FOUNTAIN DRIVE
City: Conway
State: Arkansas
ZIP Code: 72034-3684
Phone: (501) 329-9851

Authorized Official

Name: DR. SHANE FORD, O.D.
Title: PRESIDENT
Phone: (501) 329-9851

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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