Organization Active NPI

Forster Eye Care, P.C.

  • Optometrist
  • Lawrenceville, GA
National Provider Identifier
1750552469
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1383T Issued in GA
Legal business name
FORSTER EYE CARE, P.C.
Practice address
725 Walther Rd BLDG 100
Lawrenceville, GA 30046-8725
Phone
(770) 513-3300
Fax
(678) 990-8252
NPI assigned
Mar 20, 2008
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Tyra Myers, OD
Title
Owner
Phone
(770) 513-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1383T GA Primary

Addresses

Primary practice location

725 Walther Rd BLDG 100
Lawrenceville, GA 30046-8725

Mailing address

725 Walther Rd
Building 100
Lawrenceville, GA 30046-8725
Phone (770) 513-3300

Other identifiers 1

IdentifierTypeStateIssuer
410044702OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080409000221 GA Part B Supplier - Clinic/Group Practice 8628080751 Receives reassigned benefits from 3 practitioners
Practice locations: Lawrenceville, GA
O20100930003356 GA DME Supplier - Physician - Optometrist 8628080751 Practice locations: Lawrenceville, GA

National Provider Directory

National Provider Directory

Locations

725 Walther Rd
#100
Lawrenceville, GA 30046
Phone (770) 513-3300

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1750552469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 WALTHER RD",
            "address_2": "BUILDING 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468725",
            "telephone_number": "770-513-3300",
            "fax_number": "678-990-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 WALTHER RD BLDG 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468725",
            "telephone_number": "770-513-3300",
            "fax_number": "678-990-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSTER EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "TYRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-513-3300",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1383T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410044702",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.