FERRIS R STANDIFORD (O.D.) – Optometrist, NPI 1164485801

FERRIS R STANDIFORD (O.D.) is a healthcare provider. based in Portage, Michigan. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4901003034 (MI). The NPI Number for FERRIS R STANDIFORD (O.D.) is 1164485801

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
FERRIS R STANDIFORD (O.D.)
NPI
1164485801
Phone
(269) 329-5870
Address
3412 W CENTRE AVE
Enumeration Date
11 April 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY
Secondary Phone
2693295860
Graduation Year
1985 (41 years ago)
PAC ID
2062548027
Group Practice PAC ID
8628112380
Professional Enrollment ID
I20100329000865
Address ID
MI490244624PO3412XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,204 OPTOMETRY in MI

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Provider Addresses for FERRIS R STANDIFORD (O.D.)

  • 3412, West Centre Avenue, Portage, Kalamazoo County, Michigan, 49024, United States

    PORTAGE, MI 490244624

    Phone: (269) 329-5870

    Fax: (269) 329-5865

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $63.

Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.

Last reported payment date: 2024-02-23 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($24).

Total Amount

$63

General + Research + Ownership

Payments

3

Total payment records

General Amount

$63

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100329000865IOptometryMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system463456$0
99213Established patient office or other outpatient visit, 20-29 minutes155137$0
92133Imaging of optic nerve104104$0
92083Exam of visual field with extended testing9595$0
92004New patient complete exam of visual system8585$0
View full utilization report →

Insurance plans in this area (ZIP 49024)

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Provider's Procedures

FERRIS R STANDIFORD (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYMI92012Eye and medical examination for diagnosis and treatment, established patient2626
OPTOMETRYMI92083Measurement of field of vision during daylight conditions6464
OPTOMETRYMI92134Diagnostic imaging of retina3232

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628112380View full group profile
NameSpecialtyState
O P T O M E T R YMI
O P H T H A L M O L O G YMI
O P H T H A L M O L O G YMI
O P T O M E T R YMI
O P H T H A L M O L O G YMI

Reviews

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Frequently asked questions

What federal number belongs to FERRIS R STANDIFORD (O.D.)?
The federal identifier for FERRIS R STANDIFORD (O.D.) is NPI 1164485801.
Does this profile mean FERRIS R STANDIFORD (O.D.) is currently active?
Yes — FERRIS R STANDIFORD (O.D.) appears active in the national provider directory.
What kind of provider is FERRIS R STANDIFORD (O.D.)?
The page reflects Optometrist for FERRIS R STANDIFORD (O.D.). Clinical services aligned with this taxonomy classification.
Does FERRIS R STANDIFORD (O.D.) practice in Michigan?
You will see Portage, Michigan on file for FERRIS R STANDIFORD (O.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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