Organization Active NPI

Dr. Forrest and Associates, P.a.

  • Optometrist
  • Tampa, FL
National Provider Identifier
1154537108
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. FORREST AND ASSOCIATES, P.A.
Practice address
700 S Dale Mabry Hwy
Tampa, FL 33609-4409
Phone
(813) 877-4935
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Authorized official

Name
Debbie Forrest
Title
President
Phone
(813) 877-4935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

700 S Dale Mabry Hwy
Tampa, FL 33609-4409

Mailing address

700 S Dale Mabry Hwy
Tampa, FL 33609-4409
Phone (813) 877-4935

Other identifiers 1

IdentifierTypeStateIssuer
008780100MedicaidFL

National Provider Directory

National Provider Directory

Locations

4200 Conroy Rd
Ste L201
Orlando, FL 32839
Phone (407) 903-1018

4200 Conroy Rd
Ste 201
Orlando, FL 32839
Phone (407) 826-9673

8001 S Orange Blossom Trl
Ste L642
Orlando, FL 32809
Phone (407) 204-5599

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1154537108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094409",
            "telephone_number": "813-877-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094409",
            "telephone_number": "813-877-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. FORREST AND ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-877-4935"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008780100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.