LARRY E FORTH O D P C (NPI# 1306966791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306966791 |
| Entity Type | Organization |
| Organization Name | LARRY E FORTH O D P C |
| Other Organization Name | COLONY OPTICAL |
| Practice Address |
708 S Grant St Suite #18 Fitzgerald GA 31750 |
| Mailing Address |
708 S Grant St Suite #18 Po Box 5209 Fitzgerald GA 31750 |
| Practice Telephone | 2294235556 |
| Practice Fax Number | 2294235179 |
| Mailing Telephone | 2294235556 |
| Mailing Fax Number | 2294235179 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-10-20 |
| Authorized Official Name | DR. LARRY E FORTH (OPTOMETRIST) |
| Authorized Official Telephone | 2294235556 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT000842 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000151819C | 05 | |
| GA | EYEMED VISION CARE | 117755 | 01 |
| Other Name | Type Code |
|---|---|
| Colony Optical | Doing Business As Name - Organization |
| Street Address |
708 S GRANT ST SUITE #18 |
| City | FITZGERALD |
| State | GA |
| Zip Code | 31750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457572513 | Maurice Jerome Freeman | Dentist | 708 S Grant St, Bldg 20, Fitzgerald, GA 31750-3788 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662741 | Rural Urgent Care LLC | Clinic/Center | 125 Benjamin H Hill Dr. Sw, Fitzgerald, GA 31750 | 2020-09-03 |
| 1730604943 | Karen Denise Charles | Rehabilitation Counselor | 410 South Sherman Street, Fitzgerald, GA 31750 | 2017-08-08 |
| 1457898249 | Walter Stone | Nurse Practitioner | 116 Norman Dorminy Dr, Ste 12, Dmc Physician Group LLC, Fitzgerald, GA 31750 | 2017-01-31 |
| 1013315605 | Tift County Hospital Authority | Family Medicine | 246 Ben Hill Drive, Fitzgerald, GA 31750 | 2014-12-12 |
| 1881940211 | We Care Transportation, LLC | Non-emergency Medical Transport (VAN) | 608 N Sherman St, Fitzgerald, GA 31750 | 2012-08-03 |
| 1922365501 | Shayla Curtis | Family Medicine | 613 S Grant St, Fitzgerald, GA 31750 | 2012-04-19 |
| 1134380520 | Winston C Ugbajah | Family Medicine | 116 Benjamin Hill Drive, Suite 12, Fitzgerald, GA 31750 | 2008-06-19 |
| 1740370691 | Thomas R Mann | Internal Medicine | 118 Norman Dorminy Drive, Fitzgerald, GA 31750 | 2006-10-13 |
| 1407865389 | Jude Ogho Okugbeni | Family Medicine | 407 West Pine, Fitzgerald, GA 31750 | 2006-08-07 |
| 1811983091 | Derrick W Taylor | Internal Medicine | 110 Norman Dorminy Dr, Suite B, Fitzgerald, GA 31750 | 2005-09-23 |
| Find all providers in zip 31750 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700072360 | Timothy Jay Perry | Optometrist | 120 Benjamin H Hill Dr W, Fitzgerald, GA 31750-8607 | 2007-09-18 |
| 1265533327 | Timothy J. Perry, O.d., P.C. | Optometrist | 120 Benjamin H Hill Dr W, Fitzgerald, GA 31750-8607 | 2006-09-25 |
| 1487677563 | Gayton Health Centre | Optometrist | 182 Perry House Rd, Suite G, Fitzgerald, GA 31750 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850466 | Kelsea Brown | Optometrist | 2184 Henderson Mill Rd Ne Ste 12b, Atlanta, GA 30345-3762 | 2020-10-28 |
| 1437756459 | Atl Optical LLC | Optometrist | 9380 The Landing Dr Ste B, Douglasville, GA 30135-7177 | 2020-10-02 |
| 1831703289 | First Class Eye Care, LLC | Optometrist | 2730 Peachtree Industrial Blvd Ste 206, Duluth, GA 30097-8628 | 2020-09-03 |
| 1770196636 | Orbic Eye Care | Optometrist | 339 Furys Ferry Rd Ste 1, Martinez, GA 30907-3072 | 2020-08-28 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1629680830 | Mobile Medical Eye Care LLC | Optometrist | 110 Moseley Crossing Dr, Stockbridge, GA 30281-6501 | 2020-08-19 |
| 1376154963 | Family First Vision Care Georgia | Optometrist | 1401 Johnson Ferry Rd Ste 148b, Marietta, GA 30062-6499 | 2020-08-17 |
| 1740890284 | Woodstock Eye Associates LLC | Optometrist | 113 Lincoln St, Woodstock, GA 30188-7800 | 2020-08-07 |
| 1770101818 | Tony Lam | Optometrist | 2549 Piedmont Rd Ne Ste 120, Atlanta, GA 30324-3023 | 2020-07-06 |
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| Find all providers with the same taxonomy | ||||
| City | FITZGERALD |
| Zip Code | 31750 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.