Shane E. Ford Od PA
Shane E. Ford Od PA is a healthcare organization registered as Optometrist in Conway, AR, holding Type 2 (organization) NPI 1033178736 since 2006. The authorized official on file is Shane Ford, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1033178736 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Shane E. Ford Od PA |
| Other name | <Unavail> |
| Practice address | 3005 FOUNTAIN DRIVE, Conway, AR, 72034 |
| Phone | 5013299851 |
| Fax | 5013299854 |
| Enumeration date | 2006-03-21 |
| Last updated in NPPES | 2025-01-07 |
Authorized official
| Name | Shane Ford |
|---|---|
| Title | President |
| Phone | 5013299851 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | PC114 | AR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148570722 | Medicaid | AR | — |
Copy-ready billing details
Provider: Shane E. Ford Od PA NPI: 1033178736 Taxonomy: 152W00000X (Optometrist) Address: 3005 FOUNTAIN DRIVE, Conway, AR, 72034
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1568442366 | Eric Robbins | Individual | Optometrist | Conway, AR |
| 1497714075 | Shane Ford | Individual | Optometrist | Conway, AR |
Verify this record
Cross-check NPI 1033178736 against the authoritative CMS record: view Shane E. Ford Od PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Shane E. Ford Od PA?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-01-07.