NPI 1033178736

Shane E. Ford OD PA

Organisation Optometrist Conway, AR

Practice location

Address: 3005 Fountain Drive, Conway, AR 72034-3684
Phone: (501) 329-9851
Fax: (501) 329-9854

Authorised official

Name: Shane Ford
Title: President
Phone: (501) 329-9851

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence PC114 (AR)

Other Optometrist providers in Arkansas →

Registry record

NPI: 1033178736
Entity type: Organization
NPI issued: 21 Mar 2006
Record last updated: 7 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.