Forest Place Optical LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FOREST PLACE OPTICAL LLC

Practice address

550 Forest Ave Ste 12
Plymouth, MI 48170-1769

Phone

(734) 455-3340

Fax

(734) 455-1727

NPI assigned

Jun 7, 2010

Organization subpart

No

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

Authorized official

Name

David J Getschman

Title

MBR

Phone

(734) 455-3340

Specialties & licenses 1

Addresses

Practitioners 3

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

• Elena M Rose, O.D.

  • Optometrist
  • Novi, MI
  • NPI 1619341575
  NPD
• Phillip R Elston, OD

  • Optometrist
  • Birmingham, MI
  • NPI 1205829629
  NPD (past)
• Glenn Young, OD

  • Optometrist
  • Plymouth, MI
  • NPI 1427198126
  NPD (past)

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1750601258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 FOREST AVE STE 12",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701769",
            "telephone_number": "734-455-3340",
            "fax_number": "734-455-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 FOREST AVE STE 12",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701769",
            "telephone_number": "734-455-3340",
            "fax_number": "734-455-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST PLACE OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "GETSCHMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "734-455-3340"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailee Foos
• Phylicia Forbes
• Kristen Forehand
• Forest Place Optical
• Forest Place Optical Inc
• Michael Forgach
• Mikaela Forkner
• Patricia Forney
• Kelly Fornwalt
• Bethany Foster

• Optometrist in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; 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.