Rebecca Forman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

N/A Issued in NY

Practice address

5 Britta LN
New City, NY 10956-3115

Phone

(845) 642-1935

NPI assigned

Jul 21, 2011

Last updated

Jul 21, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Rebecca Forman Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Eye Specialists of Westchester P.C.

  • Ophthalmology Physician
  • New Rochelle, NY
  • NPI 1235141987
  NPD (past)

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1184902314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BRITTA LN",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563115",
            "telephone_number": "845-642-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BRITTA LN",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563115",
            "telephone_number": "845-642-1935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMAN",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "FORMAN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Fletcher J Johnson MD PC
• Kenneth Howard Fliesser, LCSW
• Holly Nicole Flodin
• Judy Lynn Florsheim
• June Forman
• Forte Physical Therapy PLLC
• Frank Nani Physical Therapy, P.C.
• Zipora Frank, LCSW
• Jessica Danielle Fray
• Lucy Frazier, PT

• Optometrist in New City, NY
• Providers in New City, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.