Forniss Optometric PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003112 Issued in IN

Legal business name

FORNISS OPTOMETRIC PC

Practice address

5525 Georgetown Rd
Suite J
Indianapolis, IN 46254-3717

Phone

(317) 297-1788

Fax

(317) 297-1790

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly D Forniss, OD

Title

Owner

Phone

(317) 297-1788

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allyson Noelle Brown, O.D.

  • Optometrist
  • Indianapolis, IN
  • NPI 1770861411
  NPD (past)

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1740447184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 GEORGETOWN RD",
            "address_2": "SUITE J",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543717",
            "telephone_number": "317-297-1788",
            "fax_number": "317-297-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 GEORGETOWN RD",
            "address_2": "SUITE J",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462543717",
            "telephone_number": "317-297-1788",
            "fax_number": "317-297-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORNISS OPTOMETRIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "FORNISS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-297-1788",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Ann Forler
• Megan Forman, OT
• Patricia Ann Forman
• Nicole Leigh Fornalik, PA-C
• Shelby Forney, PNP
• Kimberly D Forniss, O.D.
• Erick Forno, MD
• Ann M Fornuto, MSW
• Greta Forrer
• Kevin Patrick Forrest, D.C., LAC.

• Optometrist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.