Forsyth Optometric Group,PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1241 Issued in NC

Legal business name

FORSYTH OPTOMETRIC GROUP,PA

Doing business as

Eye Care Center

Practice address

101 Sawmill Rd
Raleigh, NC 27615-6148

Phone

(919) 847-0051

Fax

(919) 846-9003

NPI assigned

Dec 6, 2006

Last updated

Oct 9, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Gregory Forsyth, ODNPI 1104911635

Title

Co Owner

Phone

(919) 847-0051

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Eye Care Center Doing business as

Locations

Practitioners 3

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.

• Paul Gregory Forsyth, O.D.

  • Optometrist
  • Raleigh, NC
  • NPI 1104911635
  Authorized official Same address or phone
• Courtney Gregg, OD

  • Optometrist
  • Raleigh, NC
  • NPI 1003337593
  NPD
• Nija Sunil, OD

  • Optometrist
  • Raleigh, NC
  • NPI 1700779360
  NPD

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1831258912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SAWMILL RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156148",
            "telephone_number": "919-847-0051",
            "fax_number": "919-846-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SAWMILL RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156148",
            "telephone_number": "919-847-0051",
            "fax_number": "919-846-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH OPTOMETRIC GROUP,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "FORSYTH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "919-847-0051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1104911635",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "2348490",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1831258912",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1164592523",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacie Creech Forrest, LPC
• Sandra Forrester
• Cynthia Forsley, LCSWA
• Micah Forsline
• Forsyth Medical Group, LLC (Element Endocrinology and Diabetes)
• Antoinette H Forsyth, LPC
• Paul Gregory Forsyth, O.D.
• Richard James Forsyth, M.D.
• Charles Alfred Fort
• Carl Lee Forte

• Optometrist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.