Forrest Keith Umbel, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001086 Issued in PA

Practice address

3100 Oakland Ave
C/O Walmart Vision Center
Indiana, PA 15701-3240

Phone

(724) 349-5671

Fax

(724) 340-6375

NPI assigned

Aug 31, 2006

Last updated

May 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. F Keith Umbel Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1740392448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 SUE ANNE LN",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013652",
            "telephone_number": "724-357-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OAKLAND AVE",
            "address_2": "C/O WALMART VISION CENTER",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013240",
            "telephone_number": "724-349-5671",
            "fax_number": "724-340-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMBEL",
        "first_name": "FORREST",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001740107001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "F",
            "last_name": "UMBEL",
            "middle_name": "KEITH",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Optometrist in Indiana, PA
• Providers in Indiana, PA by specialty
• Optometrist in Pennsylvania

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