Provider Demographics
NPI:1497060859
Name:LEDFORD, JOSEPH A (OD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:A
Last Name:LEDFORD
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:PO BOX 4137
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-2686
Mailing Address - Country:US
Mailing Address - Phone:843-357-8096
Mailing Address - Fax:843-357-8099
Practice Address - Street 1:640 MORSE AVE UNIT 11
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-5116
Practice Address - Country:US
Practice Address - Phone:843-357-8096
Practice Address - Fax:843-357-8099
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1665152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist