Organization
SHANE E. FORD OD PA
Active
Other names
Arkansas Eye Care Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE FORD O.D. (PRESIDENT)
(501) 329-9851
Entity
Organization
Contact information
Practice address
3005 FOUNTAIN DRIVE, CONWAY, AR 72034-3684
(501) 329-9851
(501) 329-9854
Mailing address
3005 FOUNTAIN DRIVE, CONWAY, AR 72034-3684
(501) 329-9851
(501) 329-9854
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
PC114
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148570722
—
AR
Enumeration date
03/21/2006
Last updated
01/07/2025
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