| Shane E. Ford Od Pa | |
|
3005 Fountain Drive, Conway, AR 72034-3684 | |
| (501) 329-9851 | |
| (501) 329-9854 |
| Full Name | Shane E. Ford Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3005 Fountain Drive, Conway, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033178736 | NPI | - | NPPES |
| 148570722 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | PC114 (Arkansas) | Primary |
| Provider Name | Robert Hunter Scaife |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649260050 PECOS PAC ID: 0244136661 Enrollment ID: I20031208000865 |
| Provider Name | Shane E Ford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497714075 PECOS PAC ID: 8325017346 Enrollment ID: I20040927001168 |
| Provider Name | Eric M Robbins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568442366 PECOS PAC ID: 5395790299 Enrollment ID: I20050323001270 |
| Provider Name | Airiell M Schwab |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053417360 PECOS PAC ID: 2961408836 Enrollment ID: I20091229000122 |
| Provider Name | Bryan Koontz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609850916 PECOS PAC ID: 4082746037 Enrollment ID: I20100709000793 |
| Provider Name | Maci Lewis Papera |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962029587 PECOS PAC ID: 4880018647 Enrollment ID: I20200727001693 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane E. Ford Od Pa 3005 Fountain Drive, Conway, AR 72034-3684 Ph: (501) 329-9851 | Shane E. Ford Od Pa 3005 Fountain Drive, Conway, AR 72034-3684 Ph: (501) 329-9851 |
Dr. Leigh E Cox, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 821 Hogan Ln, Suite 500, Conway, AR 72034 Phone: 501-548-0226 Fax: 501-548-3591 | |
Charles Todd, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 552 Locust St, Conway, AR 72034 Phone: 501-329-6859 Fax: 501-329-6850 | |
Dr. Rebecca M King, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 201 Skyline Dr Ste 37, Conway, AR 72032 Phone: 501-450-9191 Fax: 501-450-9922 | |
Deblack Eye Care Center, P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 4150 Tyler Street,, Suite 1, Conway, AR 72034 Phone: 501-329-7878 Fax: 501-329-7881 | |
Dr. James Warren Stuckey, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1155 Highway 65 North, Conway, AR 72032 Phone: 501-328-9500 Fax: 501-328-5148 | |
Ronald F Boyles Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1100 S Amity Rd Ste A, Conway, AR 72032 Phone: 501-388-2020 |