Active NPI
Leonard H Forbes, O.D.
- Optometrist
- Sylmar, CA
National Provider Identifier
1497867600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT4873TPA
- Practice address
- 12737 Glenoaks Blvd
Suite 3
Sylmar, CA 91342-4724 - Phone
- (818) 367-1015
- Fax
- (818) 367-3593
- NPI assigned
- Sep 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT4873TPA | CA | Primary |
Addresses
Primary practice location
12737 Glenoaks Blvd
Suite 3
Sylmar, CA 91342-4724
Mailing address
12737 Glenoaks Blvd
Suite 3
Sylmar, CA 91342-4724
Phone (818) 367-1015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497867600 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT4873TPA | CA | MD | Optometrist |
| 4873 | CA | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Vision Center an Optometric Practice Incorporated | Optometrist | Current | Accepting new patients |
| Ellen Shuham OD Inc | Optometrist | Past | Accepting new patients |
| Dr. Leonard H. Forbes, O.D. | Optometrist | Past | Accepting new patients |
Locations
26506 Bouquet Canyon Rd
Saugus, CA 91350
Phone (661) 297-2020
Interoperability endpoints
- leonard.forbes@uprisedirect.com
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Sylmar, CA
- NPI 1245268242
-
- Optometrist
- Valencia, CA
- NPI 1275011595
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 and National Provider Directory roles.
-
- Optometrist
- Saugus, CA
- NPI 1780774596
-
- Optometrist
- Sylmar, CA
- NPI 1114061207
-
- Optometrist
- Northridge, CA
- NPI 1174648943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297209600000",
"number": "1497867600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12737 GLENOAKS BLVD",
"address_2": "SUITE 3",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913424724",
"telephone_number": "818-367-1015",
"fax_number": "818-367-3593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12737 GLENOAKS BLVD",
"address_2": "SUITE 3",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913424724",
"telephone_number": "818-367-1015",
"fax_number": "818-367-3593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORBES",
"first_name": "LEONARD",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2011-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT4873TPA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1497867600",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sylmar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.