Active NPI
Forest Place Optical
- Durable Medical Equipment & Medical Supplies
- Plymouth, MI
National Provider Identifier
1801084082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 540H204540 | Other | MI | BCBS |
National Provider Directory
National Provider DirectoryLocations
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.