Individual provider Active NPI

John Forrest, OD

  • Optometrist
  • Harleysville, PA
National Provider Identifier
1346808110
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003575 Issued in PA
Practice address
426 Main St
Harleysville, PA 19438-2350
Phone
(215) 256-6735
Fax
(215) 256-9931
NPI assigned
Jun 5, 2019
Last updated
Jul 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003575 PA Primary

Addresses

Primary practice location

426 Main St
Harleysville, PA 19438-2350

Mailing address

426 Main St
Harleysville, PA 19438-2350

Other practice location 1

2339 N Broad St
Colmar, PA 18915-9702
Phone (215) 997-4535

Other practice location 2

1810 Wilmington Pike Ste 13
Glen Mills, PA 19342-8180
Phone (610) 558-2760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20201016000822 PA Practitioner - Optometry 9335569136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Your Eye Associates LLCGroup PAC ID 4688087885, 6 clinicians

Practice addresses (Care Compare)

426 Main St
Harleysville, PA 19438-2350
Phone (215) 256-6735

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003575PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Your Eye Associates LLC Optometrist Past Accepting new patients

Organizations & group practices 3

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": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1346808110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 MAIN ST",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 MAIN ST",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382350",
            "telephone_number": "215-256-6735",
            "fax_number": "215-256-9931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2339 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Colmar",
            "state": "PA",
            "postal_code": "189159702",
            "country_code": "US",
            "telephone_number": "215-997-4535",
            "fax_number": "215-997-4537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1810 Wilmington Pike Ste 13",
            "address_purpose": "LOCATION",
            "city": "Glen Mills",
            "state": "PA",
            "postal_code": "193428180",
            "country_code": "US",
            "telephone_number": "610-558-2760",
            "fax_number": "610-361-2031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORREST",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harleysville, PA

Sources for this page

Verify at the official NPI Registry.