Forest L Calhoun Jr

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FOREST L CALHOUN JR

Doing business as

Wedgwood Optical

Practice address

5709 Westcreek Dr
Fort Worth, TX 76133-3301

Phone

(817) 292-1622

Fax

(817) 423-2313

NPI assigned

Oct 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Forest L Calhoun Jr.

Title

Owner

Phone

(817) 292-1622

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wedgwood Optical Doing business as

Locations

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1730378126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5709 WESTCREEK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761333301",
            "telephone_number": "817-292-1622",
            "fax_number": "817-423-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5709 WESTCREEK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761333301",
            "telephone_number": "817-292-1622",
            "fax_number": "817-423-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST L CALHOUN JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "CALHOUN",
        "authorized_official_first_name": "FOREST",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-292-1622",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1914483 01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wedgwood Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Ford, MD
• Marcus C Ford, MD
• Megan Lynn Foreman, LCSW
• Carrie Forero, RN
• Forest Hill Diagnostic & Rehabilitation, Inc.
• Forest Park Management
• Forest Park Mecial Center at Fort Worth, LLC
• Mark David Forester, BS CCSH
• Shaun Michael Foret
• Clara Formusoh, NP

• Durable Medical Equipment & Medical Supplies in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.