Individual provider Active NPI

Lawrence Steven Forgacs, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1003965427
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV0032591 Issued in NY
Practice address
425 Madison Ave
Ste 802
New York, NY 10017-1128
Phone
(212) 583-9000
Fax
(212) 755-8479
NPI assigned
Jan 9, 2007
Last updated
Nov 21, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV0032591 NY Primary

Addresses

Primary practice location

425 Madison Ave
Ste 802
New York, NY 10017-1128

Mailing address

425 Madison Ave
Ste 802
New York, NY 10017-1128
Phone (212) 583-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070503000688 NY Practitioner - Optometry 6800992074 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

551 5TH Ave
Suite 220
New York, NY 10176-0001
Phone (212) 583-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV0032591NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Town Optical Optometrist CurrentSince Mar 20, 2023 Accepting new patients
My Ophthalmologist, P.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384992000000",
    "number": "1003965427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MADISON AVE",
            "address_2": "STE 802",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171128",
            "telephone_number": "212-583-9000",
            "fax_number": "212-755-8479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MADISON AVE",
            "address_2": "STE 802",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171128",
            "telephone_number": "212-583-9000",
            "fax_number": "212-755-8479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORGACS",
        "first_name": "LAWRENCE",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2013-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0032591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.