Organization
DR. JEFFERY B. FORD AND ASSOC.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY BRIAN FORD O.D. (PRESIDENT)
(334) 230-9694
Entity
Organization
Contact information
Practice address
1963 WALNUT ST, MONTGOMERY, AL 36106-1532
(334) 230-9694
(334) 230-9697
Mailing address
1963 WALNUT ST, MONTGOMERY, AL 36106-1532
(334) 230-9694
(334) 230-9697
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S 910 TA 465
AL
Other
Enumeration date
10/30/2008
Last updated
10/30/2008
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