Organization Active NPI

Richard L Forgey Lori L Matsuno Partnership

  • Optometrist
  • Glendora, CA
National Provider Identifier
1295984318
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT8800T Issued in CA
Legal business name
RICHARD L FORGEY LORI L MATSUNO PARTNERSHIP
Practice address
210 S Grand Ave
Suite 115
Glendora, CA 91741-4263
Phone
(626) 857-0234
Fax
(626) 857-0857
NPI assigned
Sep 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Authorized official

Name
Dr. Lori Lynn Matsuno, ODNPI 1770656357
Title
Partner
Phone
(626) 857-0234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT8800T CA Primary

Addresses

Primary practice location

210 S Grand Ave
Suite 115
Glendora, CA 91741-4263

Mailing address

210 S Grand Ave
Suite 115
Glendora, CA 91741-4263
Phone (626) 857-0234

Other identifiers 3

IdentifierTypeStateIssuer
1295984318OtherCAMEDI-CAL
1295984318MedicaidCA
DP2499OtherCARAILROAD MEDICARE

Other names 1

  • Drs Forgey & Matsuno Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081120000227 CA Part B Supplier - Clinic/Group Practice 8820158876 Receives reassigned benefits from 2 practitioners
Practice locations: Glendora, CA

National Provider Directory

National Provider Directory

Locations

210 S Grand Ave
Ste 115
Glendora, CA 91741
Phone (626) 857-0234

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1295984318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S GRAND AVE",
            "address_2": "SUITE 115",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414263",
            "telephone_number": "626-857-0234",
            "fax_number": "626-857-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S GRAND AVE",
            "address_2": "SUITE 115",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414263",
            "telephone_number": "626-857-0234",
            "fax_number": "626-857-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD L FORGEY LORI L MATSUNO PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "MATSUNO",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "626-857-0234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT8800T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "1295984318",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295984318",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP2499",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Forgey & Matsuno",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.