| Doctor Name: | JOHN M FORD |
| NPI Number: | 1932295847 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | OPTICIAN |
| License Number: | C003655-1 |
| Business Practice Address: | 41 Main St Silver Creek, NY - 141361416 |
| Business Phone Number: | 7169343030 |
| Business Fax Number: | 7169344960 |
| Mailing Address: | 41 Main Street, P.o. Box 109 SILVER CREEK |
| State: | NY |
| Postal Code: | 141360109 |
| Phone Number: | 7169343030 |
| Fax Number: | 7169344960 |
| NPI Enumeration Date: | 10/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | C003655-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |