DR. Reagan Lee Ford SR., O.D.

NPI #1124048277 in Starkville, Mississippi

Provider Information

NPI Number
1124048277
Entity Type
Individual
Name
DR. Reagan Lee Ford SR., O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Jul 20, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
706F HIGHWAY 12 W
ZIP Code
39759-3573
Phone
(662) 323-0571

Specialties & Taxonomy Codes

Specialty
Optometrist

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