Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Shane Ford, OD

Individual provider Optometrist · NPI 1497714075

Dr. Shane Ford, OD is an Optometry in Conway, Arkansas. Graduated from Southern College of Optometry in 1995, 31 years ago. Accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
31
Trained at
Southern College of Optometry
Licensed in
AR
In the registry since
2006
Specialties on file
4
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3005 Fountain Dr
Conway, AR 72034-3684
Phone: (501) 329-9851
Fax: (501) 329-9854
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2505 (AR)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 2505 (AR)
Low Vision Rehabilitation Optometrist Taxonomy 152WL0500X · Licence 2505 (AR)
Pediatric Optometrist Taxonomy 152WP0200X · Licence 2505 (AR)

Record details

NPI number1497714075
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 21, 2006
Last updated in NPPESOctober 18, 2007
Mailing address3005 Fountain Drive, Conway, AR 72034-3684

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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