Forestdale Eye Clinic, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FORESTDALE EYE CLINIC, INC.

Practice address

2801 John Hawkins Pkwy
Suite 149M
Hoover, AL 35244-4007

Phone

(205) 985-7640

Fax

(205) 985-7638

NPI assigned

Jan 22, 2007

Last updated

Aug 22, 2020By 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. Robin Lively Marbourg, O.D.NPI 1922037654

Title

President

Phone

(205) 985-7640

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Robin Lively Marbourg, O.D.

  • Optometrist
  • Oneonta, AL
  • NPI 1922037654
  NPD (past) Authorized official
• Abnous Abbey Samford, O.D.

  • Optometrist
  • Hoover, AL
  • NPI 1952343659
  NPD (past)
• Melanie D Sivley, O.D.

  • Optometrist
  • Birmingham, AL
  • NPI 1407859531
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679627087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 JOHN HAWKINS PKWY",
            "address_2": "SUITE 149M",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444007",
            "telephone_number": "205-985-7640",
            "fax_number": "205-985-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 JOHN HAWKINS PKWY",
            "address_2": "SUITE 149M",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444007",
            "telephone_number": "205-985-7640",
            "fax_number": "205-985-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORESTDALE EYE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARBOURG",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "LIVELY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-985-7640",
        "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": []
}

• Madison Fogle, RD
• Kira Fonbah, MD
• Chandlier Fordham, RBT
• Rachel Dorothea Foreman, LMSW
• Forensic Services of Alabama
• Fortify Christian Counseling, LLC
• Tivica Fortune, MS, LPC
• Danyle Foster
• Farrah Eve Fowlkes, DPT
• Kendall Joy Frame, OT R/L

• Optometrist in Hoover, AL
• Providers in Hoover, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.