Organization Active NPI

Harold M Forrest OD PA

  • Optometrist
  • Miami, FL
National Provider Identifier
1548354137
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HAROLD M FORREST OD PA
Practice address
11865 SW 26TH St
Miami, FL 33175-2400
Phone
(305) 552-9100
NPI assigned
Oct 3, 2006
Last updated
Jan 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Dr. Harold M Forrest, O.D.
Title
President
Phone
(954) 346-5172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

11865 SW 26TH St
Miami, FL 33175-2400

Mailing address

10022 NW 20 Street
Coral Springs, FL 33071
Phone (954) 346-5172

National Provider Directory

National Provider Directory

Locations

12538 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 430-4030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1548354137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10022 NW 20 STREET",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33071",
            "telephone_number": "954-346-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11865 SW 26TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331752400",
            "telephone_number": "305-552-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAROLD M FORREST OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "FORREST",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-346-5172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.