Organization
FORD FAMILY EYE CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD R FORD O.D. (PRESIDENT)
(770) 528-6607
Entity
Organization
Contact information
Practice address
600 CARROLLTON VILLA RICA HWY, VILLA RICA, GA 30180-4969
(770) 459-8733
(770) 459-8673
Mailing address
5154 THOUSAND OAKS CV NW, KENNESAW, GA 30152-2861
(770) 528-6607
(770) 459-8673
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1869
GA
152W00000X
Optometrist
1874
GA
Other
Enumeration date
08/22/2006
Last updated
08/22/2020
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