Shane E. Ford Od PA
NPI 1033178736ActiveOrganization· Optometrist· Conway, AR
Optometrist in Conway, Arkansas, registered in NPPES in March 2006. The authorized official on file is Shane Ford, O.D., President. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1033178736 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 21, 2006 |
| Last updated in NPPES | Jan 7, 2025 |
| Certified by provider | Nov 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | PC114 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (AR); Part B Supplier - Clinic/Group Practice (AR) |
|---|
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