Stewart M. Forman, O.D.

Individual provider Active NPI Optometrist · Rolling Hills Estates, CA

NPI 1649239237 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1649239237
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
04344T (CA)
Practice address
44 Hillcrest MDWS
Rolling Hills Estates, CA 90274-4884
Phone
(310) 541-5521
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
04344TCAMDOptometrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 04344T CA Yes

Addresses

Primary practice location

44 Hillcrest MDWS
Rolling Hills Estates, CA 90274-4884

Mailing address

44 Hillcrest MDWS
Rolling Hills Estates, CA 90274-4884
Phone (310) 541-5521

Other providers in Rolling Hills Estates, CA

All providers in Rolling Hills Estates, CA · Optometrist in California

Sources for this page

Verify at the official NPI Registry.