Larry E. Forth O.D.P.C.

LBN: Larry E. Forth O.D.P.C.
Larry E. Forth O.D.P.C. is an health care organization with primary practice located at 200 Doctors Drive Suite 105, Douglas GA 31533. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Larry E. Forth O.D.P.C. can be contacted via phone (912) 384-1840, or through Forth, Larry E via phone (912) 384-1840.

Contact Information

Primary practice address
200 Doctors Drive Suite 105 Douglas GA 31533
Phone: (912) 384-1840
Fax: (912) 384-5976
Website:
Map and Directions
Authorized official contact:
Name: Forth, Larry E
Phone: (912) 384-1840

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 842T Georgia

Profile Details

NPI number 1316065725
LBN Legal business name Larry E. Forth O.D.P.C.
DBA Doing business as
Authorized official Forth, Larry E
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Jun 17th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316065725 NPPES
Georgia Other 117755 EYEMED VISION CARE
Georgia MEDICAID 000151819C EYEMED VISION CARE
Georgia Other 410027578 EYEMED VISION CARE

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