Umbel, Forrest Keith
Umbel, Forrest Keith is an sole proprietor health care provider with primary practice located at 3100 Oakland Ave C/O Walmart Vision Center, Indiana PA 15701-3240. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Umbel, Forrest Keith can be contacted via phone (724) 349-5671.Contact Information
Primary practice address
3100 Oakland Ave C/O Walmart Vision Center
Indiana PA 15701-3240
Phone: (724) 349-5671
Fax: (724) 340-6375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG001086 | Pennsylvania |
Profile Details
| NPI number | 1740392448 |
|---|---|
| LBN Legal business name | Umbel, Forrest Keith |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | May 23rd, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740392448 | NPPES |
| Pennsylvania | MEDICAID | 001740107001 |
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