# DR. JEFFERY B FORD & ASSOC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912179565
- **Authorized official:** DR. JEFFERY B FORD O.D. (PRESIDENT)
- **Authorized official phone:** (334) 230-9694

## Contact information

- **Practice address:** 1501 AL HIGHWAY 14 E, SELMA, AL 36703-3201
- **Practice address phone:** (334) 230-9694
- **Mailing address:** 1963 WALNUT ST, MONTGOMERY, AL 36106-1532
- **Mailing address phone:** (334) 230-9694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WP0200X | Pediatric Optometrist | S910 TA465 | AL | Yes |

## Other

- **Enumeration date:** 03/24/2008
- **Last updated:** 03/24/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 529929840 | — | AL |