Ford, Reagan Lee

Ford, Reagan Lee is an individual health care provider with primary practice located at 522 Alabama St , Columbus MS 39702-5306. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ford, Reagan Lee can be contacted via phone (662) 327-7271.

Contact Information

Primary practice address
522 Alabama St Columbus MS 39702-5306
Phone: (662) 327-7271
Fax: (888) 611-8850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 651 Mississippi

Profile Details

NPI number 1902826696
LBN Legal business name Ford, Reagan Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Oct 31st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902826696 NPPES
Mississippi MEDICAID 00880151

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