Provider Demographics
NPI:1235321118
Name:FORD, IAN PATRICK FLOER (OD)
Entity Type:Individual
Prefix:DR
First Name:IAN
Middle Name:PATRICK FLOER
Last Name:FORD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 W 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99501-3219
Mailing Address - Country:US
Mailing Address - Phone:907-272-2557
Mailing Address - Fax:907-274-4932
Practice Address - Street 1:1345 W 9TH AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99501-3219
Practice Address - Country:US
Practice Address - Phone:907-272-2557
Practice Address - Fax:907-274-4932
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK263152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK0397780001Medicare NSC