Active NPI
Mark S Forrest, O.D.
- Optometrist
- Levittown, PA
National Provider Identifier
1871531038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000938
- Practice address
- 1409 Lincoln Hwy
Levittown, PA 19056-1137 - Phone
- (215) 943-4637
- Fax
- (215) 945-1425
- NPI assigned
- Jun 2, 2006
- Last updated
- Feb 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000938 | PA | Primary |
Addresses
Primary practice location
1409 Lincoln Hwy
Levittown, PA 19056-1137
Mailing address
2570 Barnsleigh Dr
Bensalem, PA 19020-7827
Phone (215) 752-5929
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7758158 | Medicaid | PA | |
| 2356861000 | Other | PA | HMO ID |
| 001682167 | Other | PA | HIGHMARK BLUE SHIELD ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070216000002 | PA | Practitioner - Optometry | 3173625464 | Practice locations: Levittown, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1329 E Lincoln Hwy
Levittown, PA 19056-1135
Phone (215) 943-4638
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 35 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Mark S. Forrest | Optometrist | Past | Accepting new patients |
| Design for Vision Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Levittown, PA
- NPI 1144305863
-
- Optician
- Levittown, PA
- NPI 1801923453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1871531038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 BARNSLEIGH DR",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190207827",
"telephone_number": "215-752-5929",
"fax_number": "215-945-1425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 LINCOLN HWY",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190561137",
"telephone_number": "215-943-4637",
"fax_number": "215-945-1425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORREST",
"first_name": "MARK",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7758158",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO ID",
"identifier": "2356861000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD ID",
"identifier": "001682167",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Levittown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.