Individual
DR. JEFFERY BRIAN FORD SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1845 CHERRY ST, MONTGOMERY, AL 36107-2613
(334) 420-5001
(334) 420-0160
Mailing address
1845 CHERRY ST, MONTGOMERY, AL 36107-2613
(334) 420-5001
(334) 420-0160
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-910
AL
152WC0802X
Corneal and Contact Management Optometrist
S-910
AL
152WP0200X
Pediatric Optometrist
S-910
AL
Other
Enumeration date
11/01/2006
Last updated
09/18/2024
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