Provider Demographics
NPI:1538293436
Name:D. TODD FORD, MD PA
Entity Type:Organization
Organization Name:D. TODD FORD, MD PA
Other - Org Name:PARAGON EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN-OPHTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:D
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-277-6433
Mailing Address - Street 1:801 W RANDOL MILL RD STE 201
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76012-2505
Mailing Address - Country:US
Mailing Address - Phone:817-277-6433
Mailing Address - Fax:817-277-9086
Practice Address - Street 1:801 W RANDOL MILL RD STE 201
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76012-2505
Practice Address - Country:US
Practice Address - Phone:817-277-6433
Practice Address - Fax:817-277-9086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0035174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG21781Medicare UPIN
TXU97661Medicare UPIN
TXU91566Medicare UPIN