National Provider Identifier

Robert William Ford, OD

Robert William Ford, OD is listed in the NPPES registry with a primary specialty of Optometrist in Brockport, NY and a listed phone number of (585) 637-3905.

NPI 1790749471Brockport, NYOptometrist

Profile Overview

NPI
1790749471
Provider Type
Individual
Primary Specialty
Optometrist
Enumeration Date
April 12, 2006
Last Updated
August 12, 2024

Practice Location

  • 300 West Ave
  • Oak Orchard Community Health Center
  • Brockport, NY 14420

Phone: (585) 637-3905

Mailing Address

  • 80 Westland Ave
  • Rochester, NY 14618-1046

Specialties

  • Optometrist (152W00000X)
  • Optometrist (152W00000X)
Full Record
NPI
1790749471
Entity Type
Individual
Last Name
Ford
First Name
Robert
Middle Name
William
Credential
OD
Mailing Street Address
80 Westland Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-1046
Mailing Country
US
Practice Street Address
300 West Ave
Practice Address Line 2
Oak Orchard Community Health Center
Practice City
Brockport
Practice State
NY
Practice ZIP Code
14420
Practice Country
US
Practice Phone
(585) 637-3905
Practice Fax
(585) 637-4990
Enumeration Date
April 12, 2006
Last Updated
August 12, 2024
Sex
Male
Sole Proprietor
Yes
Certification Date
August 12, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optometrist (152W00000X), Optometrist (152W00000X)