Organization Active NPI

Van C. Forrester, O.D. LLC

  • Optometrist
  • Anderson, SC
National Provider Identifier
1780968149
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1402 Issued in SC
Legal business name
VAN C. FORRESTER, O.D. LLC
Practice address
3320 N Main St
Anderson, SC 29621-4108
Phone
(864) 642-1889
Fax
(864) 224-1768
NPI assigned
Oct 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Dr. Van Forrester, O.D.NPI 1477758134
Title
Member
Phone
(864) 642-1889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1402 SC Primary

Addresses

Primary practice location

3320 N Main St
Anderson, SC 29621-4108

Mailing address

3320 N Main St
Anderson, SC 29621-4108
Phone (864) 642-1889

Other names 1

  • Forrester Eye Associates Doing business as

National Provider Directory

National Provider Directory

Locations

3320 N Main St
Anderson, SC 29621
Phone (864) 642-1889

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1780968149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 N MAIN ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214108",
            "telephone_number": "864-642-1889",
            "fax_number": "864-224-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 N MAIN ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214108",
            "telephone_number": "864-642-1889",
            "fax_number": "864-224-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN C. FORRESTER, O.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "FORRESTER",
        "authorized_official_first_name": "VAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "864-642-1889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forrester Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.