Individual
DR. REAGAN LEE FORD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
522 ALABAMA ST, COLUMBUS, MS 39702-5306
(662) 327-7271
(888) 611-8850
Mailing address
522 ALABAMA ST, COLUMBUS, MS 39702-5306
(662) 327-7271
(888) 611-8850
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
651
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880151
—
MS
Enumeration date
07/19/2006
Last updated
10/31/2023
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