Organization Active NPI

Dr. Brett Forrest and Associates, LLC

  • Optometrist
  • Tampa, FL
National Provider Identifier
1447716220
Registry record updated Feb 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. BRETT FORREST AND ASSOCIATES, LLC
Practice address
700 S Dale Mabry Hwy
Tampa, FL 33609-4409
Phone
(407) 617-8103
NPI assigned
Feb 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2019

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

Authorized official

Name
Brett Wayne Forrest
Title
Owner
Phone
(407) 617-8103

Specialties & licenses 1

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

Addresses

Primary practice location

700 S Dale Mabry Hwy
Tampa, FL 33609-4409

Mailing address

700 S Dale Mabry Hwy
Tampa, FL 33609-4409
Phone (407) 617-8103

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1550275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550275200000",
    "number": "1447716220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094409",
            "telephone_number": "407-617-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094409",
            "telephone_number": "407-617-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRETT FORREST AND ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-16",
        "last_updated": "2019-02-16",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-617-8103"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2019; 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.