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

Optometrist · Douglas, GA

Organization Active NPI

NPI number 1316065725

Practice location

200 Doctors Drive
Suite 105
Douglas, GA 31533
Phone
(912) 384-1840
Fax
(912) 384-5976

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NPI record

NPI
1316065725
Entity type
Organization (Type 2)
Enumeration date
March 26, 2007
Last updated
June 17, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 842T GA

Mailing address

Post Office Box 2740
Douglas, GA 31534
Phone
(912) 384-1840

Authorized official

Name
Dr. Larry E Forth
Title
Optometrist
Phone
(912) 384-1840

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

Larry E. Forth O.D.P.C. is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 200 Doctors Drive, Suite 105, Douglas, GA 31533. The NPI number 1316065725 was assigned on March 26, 2007 and the record was last updated on June 17, 2008.

Larry E. Forth O.D.P.C. lists a license in the registry: #842T (GA) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Larry E Forth, Optometrist.

Frequently asked questions

What is the NPI number of Larry E. Forth O.D.P.C.?

The NPI number is 1316065725.

What is the phone number of Larry E. Forth O.D.P.C.?

The phone number listed for the practice location is (912) 384-1840.

Where is Larry E. Forth O.D.P.C. located?

200 Doctors Drive, Suite 105, Douglas, GA 31533.

What is the taxonomy code for Larry E. Forth O.D.P.C.?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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