Individual provider Active NPI

David Shepard Forrest, O.D. PA

  • Optometrist
  • Weston, FL
National Provider Identifier
1447208780
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC2857 Issued in FL
Practice address
2616 Oakbrook CT
Weston, FL 33332-3440
Phone
(305) 332-5332
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC2857 FL Primary

Addresses

Primary practice location

2616 Oakbrook CT
Weston, FL 33332-3440

Mailing address

2616 Oakbrook CT
Weston, FL 33332-3440
Phone (305) 332-5332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060731000023 FL Practitioner - Optometry 4284647751 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hialeah Vision Center Inc CurrentSince Mar 19, 2018 Accepting new patients
Pembroke Lakes Optical Inc Optometrist PastSince Jun 6, 2024 Accepting new patients

Locations

380 E 9th St
Ste 2
Hialeah, FL 33010
Phone (305) 888-5166

Organizations & group practices 5

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469750400000",
    "number": "1447208780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 OAKBROOK CT",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333323440",
            "telephone_number": "305-332-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 OAKBROOK CT",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333323440",
            "telephone_number": "305-332-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "DAVID",
        "middle_name": "SHEPARD",
        "name_prefix": "Dr.",
        "credential": "O.D. PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weston, FL

Sources for this page

Verify at the official NPI Registry.