Shane E. Ford Od PA

NPI #1821801424 in Greenbrier, Arkansas

Provider Information

NPI Number: 1821801424
Entity Type: Organization
Organization Name: Shane E. Ford Od PA
Subpart: Yes (part of a larger organization)
Parent Organization: SHANE E. FORD, OD, PA
Primary Specialty: Optometrist
Enumeration Date: Jan 28, 2025
Last Updated: Jan 28, 2025

Practice Location

Address: 31 BUSINESS PARK DRIVE
Address 2: SUITE A
City: Greenbrier
State: Arkansas
ZIP Code: 72058
Phone: (501) 679-7131

Authorized Official

Name: KRISTI ANN BARTON
Title: OFFICE MANAGER
Phone: (501) 329-9851

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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