Mobile Medical Optometry Ma PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MOBILE MEDICAL OPTOMETRY MA PC

Practice address

109 Rhode Island Rd
Lakeville, MA 02347-1370

Phone

(508) 823-9307

NPI assigned

Apr 21, 2010

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Simeon Forgues, OD

Title

Owner

Phone

(508) 823-9307

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven C Karr, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Grand Blanc, MI
  • NPI 1871564153
  NPD (past)

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073830733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 RHODE ISLAND RD",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471370",
            "telephone_number": "781-489-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 RHODE ISLAND RD",
            "city": "LAKEVILLE",
            "state": "MA",
            "postal_code": "023471370",
            "telephone_number": "508-823-9307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL OPTOMETRY MA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FORGUES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SIMEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-823-9307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Lakeville, MA
• Providers in Lakeville, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.