Organization Active NPI

Forest Place Optical

  • Durable Medical Equipment & Medical Supplies
  • Plymouth, MI
National Provider Identifier
1801084082
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FOREST PLACE OPTICAL
Practice address
449 S Harvey St
Plymouth, MI 48170-1738
Phone
(734) 455-3340
Fax
(734) 455-1727
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Mr. David James Getschman, OPTICIAN
Title
Owner
Phone
(734) 455-3340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

449 S Harvey St
Plymouth, MI 48170-1738

Mailing address

449 S Harvey St
Plymouth, MI 48170-1738
Phone (734) 455-3340

Other identifiers 1

IdentifierTypeStateIssuer
540H204540OtherMIBCBS

National Provider Directory

National Provider Directory

Locations

449 S Harvey St
Plymouth, MI 48170
Phone (313) 455-3340

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1801084082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 S HARVEY ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701738",
            "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": "449 S HARVEY ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701738",
            "telephone_number": "734-455-3340",
            "fax_number": "734-455-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST PLACE OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "GETSCHMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-455-3340",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "540H204540",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

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