Shane E. Ford OD PA
NPI 1033178736 · Optometrist · Conway, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shane E. Ford OD PA is a Optometrist organization in Conway, AR (NPI 1033178736).
Provider details
- NPI number
- 1033178736
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Shane Ford, President(501) 329-9851
- License
- PC114 (AR)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Arkansas Eye Care Group
Additional practice locations (2)
- 2526 Highway 65 S Ste 104Clinton, AR 72031-6679Phone: (501) 745-2500Fax: (501) 745-7772
- 31 Business Park DriveSuite aGreenbrier, AR 72058Phone: (501) 679-7131Fax: (501) 679-7030
Registry dates
- Enumerated
- 2006-03-21
- Last updated
- 2025-01-07
- Certified
- 2024-11-12
Frequently asked questions
- What is Shane E. Ford OD PA's NPI number?
- Shane E. Ford OD PA's National Provider Identifier (NPI) is 1033178736, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shane E. Ford OD PA?
- Shane E. Ford OD PA is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Shane E. Ford OD PA located?
- Shane E. Ford OD PA's practice location on file with NPPES is 3005 Fountain Drive, Conway, AR 72034-3684.
- What is Shane E. Ford OD PA's phone number?
- The practice phone number listed in the NPPES registry for Shane E. Ford OD PA is (501) 329-9851.
- Does Shane E. Ford OD PA accept Medicare?
- Shane E. Ford OD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shane E. Ford OD PA?
- The authorized official listed on Shane E. Ford OD PA's NPPES record is Shane Ford, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shane E. Ford OD PA's NPI active?
- Yes — Shane E. Ford OD PA's NPI (1033178736) is active in the NPPES registry as of the last update on 2025-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.