Mary M. Foresman O.D.P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP2607 Issued in FL

Legal business name

MARY M. FORESMAN O.D.P.A.

Practice address

7171 N Davis Hwy
Pensacola, FL 32504-6254

Phone

(850) 902-2468

NPI assigned

Mar 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mary M Foresman, O.D.

Title

President

Phone

(850) 902-2468

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356470686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 S FERDON BLVD",
            "address_2": "#173",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325368457",
            "telephone_number": "850-902-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 N DAVIS HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046254",
            "telephone_number": "850-902-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY M. FORESMAN O.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORESMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-902-2468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP2607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.