Ford, Reagan Lee
Ford, Reagan Lee is an sole proprietor health care provider with primary practice located at 706F Highway 12 W , Starkville MS 39759-3573. 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) 323-0571.Contact Information
Primary practice address
706F Highway 12 W
Starkville MS 39759-3573
Phone: (662) 323-0571
Fax: (662) 323-6365
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 466 | Mississippi |
Profile Details
| NPI number | 1124048277 |
|---|---|
| LBN Legal business name | Ford, Reagan Lee |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124048277 | NPPES |
| Mississippi | MEDICAID | 00087840 |
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