DR. Shane Ford, O.D.

NPI #1497714075 in Conway, Arkansas

Provider Information

NPI Number: 1497714075
Entity Type: Individual
Name: DR. Shane Ford, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Mar 21, 2006
Last Updated: Oct 18, 2007

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary
Optometrist - Corneal and Contact Management — Corneal and Contact Management	152WC0802X
Optometrist - Low Vision Rehabilitation — Low Vision Rehabilitation	152WL0500X
Optometrist - Pediatrics — Pediatrics	152WP0200X

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