Forest Park Eye Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FOREST PARK EYE CARE PC

Practice address

453 Sumner Ave
Springfield, MA 01108-2320

Phone

(413) 733-5155

Fax

(413) 733-5119

NPI assigned

Aug 12, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Britt E Adornato, O.D.NPI 1821091034

Title

President

Phone

(413) 733-5155

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: badoranto@forestparkeyecare.eyefinity-direct.com
• Direct secure messaging: tharadon@forestparkeyecare.eyefinity-direct.com

Practitioners 2

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.

• Britt E Adornato, O. D.

  • Optometrist
  • Springfield, MA
  • NPI 1821091034
  Medicare reassignment Care Compare group NPD Authorized official
• Tracy A Haradon, O. D.

  • Corneal and Contact Management Optometrist
  • Springfield, MA
  • NPI 1023011228
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659383644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 SUMNER AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011082320",
            "telephone_number": "413-733-5155",
            "fax_number": "413-733-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 SUMNER AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011082320",
            "telephone_number": "413-733-5155",
            "fax_number": "413-733-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST PARK EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ADORNATO",
        "authorized_official_first_name": "BRITT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-733-5155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W20352",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLANS",
            "identifier": "694526",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "45812",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9731211",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Katya R Ford, MD
• Sheila Marie Forgue, MA, LMHC
• Agnes Formejster, PTA
• Joanna Fornwalt
• Brady William Forrest
• Devaughn R. Forrest

• Optometrist in Springfield, MA
• Providers in Springfield, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.