Paul Thomas Forrest, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

OE007014T Issued in PA

Practice address

2339 N Broad St
Colmar, PA 18915-9702

Phone

(215) 997-4535

Fax

(215) 997-4537

NPI assigned

Jul 5, 2006

Last updated

Jan 22, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1989

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)

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

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.

• Your Eye Associates LLC

  dba Harleysville Eye Associates

  • Optometrist
  • Harleysville, PA
  • NPI 1639187776
  Medicare reassignment Care Compare group Authorized official
• Your Eye Associates LLC

  dba Chadds Ford Eye Associates

  • Optometrist
  • Glen Mills, PA
  • NPI 1053329102
  NPD (past) Authorized official
• Your Eye Associates LLC

  dba Lansdale Eye Associates

  • Optometrist
  • Colmar, PA
  • NPI 1174531222
  Authorized official Same address or phone

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1386674042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 N BROAD ST",
            "city": "COLMAR",
            "state": "PA",
            "postal_code": "189159702",
            "telephone_number": "215-997-4535",
            "fax_number": "215-997-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 N BROAD ST",
            "city": "COLMAR",
            "state": "PA",
            "postal_code": "189159702",
            "telephone_number": "215-997-4535",
            "fax_number": "215-997-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "PAUL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE007014T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "68633",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "456899",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0157937000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4356965",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dilip N Dudhat, DMD
• Danelle M Eckeard
• Howard Eisenbrock, D.O
• Leslie Feggans-Haynes, FNP
• Melissa Ann Fleck, RDN, LDN
• Gloria Gamble
• Hitesh Nanalal Govani, D.M.D.
• Lance Grosse, DPT
• Shon Jay Grosse, PT
• Alyssa Autumn Gushka, PT, DPT

• Optometrist in Colmar, PA
• Providers in Colmar, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.