LARRY E. FORTH O.D.P.C. (NPI# 1316065725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316065725 |
| Entity Type | Organization |
| Organization Name | LARRY E. FORTH O.D.P.C. |
| Practice Address |
200 Doctors Drive Suite 105 Douglas GA 31533 |
| Mailing Address |
Post Office Box 2740 Douglas GA 31534 |
| Practice Telephone | 9123841840 |
| Practice Fax Number | 9123845976 |
| Mailing Telephone | 9123841840 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | DR. LARRY E FORTH (OPTOMETRIST) |
| Authorized Official Telephone | 9123841840 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 842T | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000151819C | 05 | |
| GA | RAIL ROAD MEDICARE | 410027578 | 01 |
| GA | EYEMED VISION CARE | 117755 | 01 |
| Street Address |
200 DOCTORS DRIVE SUITE 105 |
| City | DOUGLAS |
| State | GA |
| Zip Code | 31533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285756163 | Justin Flynn Harrell | Family Medicine | 200 Doctors Drive, Suite 106, Douglas, GA 31533-2203 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1811528649 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 211 North Street, Douglas, GA 31533 | 2020-01-30 |
| 1952940793 | Teresa Smith | Pharmacist | 901 W Ward St, Douglas, GA 31533 | 2019-12-26 |
| 1447641048 | Jennifer Spivey | Nurse Practitioner | 326 Shirley Avenue, Douglas, GA 31533 | 2015-02-18 |
| 1972914497 | Jessica Lynne Courson | Nurse Practitioner | 903 West Ward Street, Suite B, Douglas, GA 31533 | 2014-05-19 |
| 1063840296 | South Central Primary Care Center | Clinic/Center | 303 Shirley Ave, Ste B, Douglas, GA 31533 | 2013-10-25 |
| 1336411008 | Unison Behavioral Health | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 118 Coweta Avenue South, Douglas, GA 31533 | 2012-01-27 |
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1063650406 | Jayla Snipes Bullock | Speech-Language Pathologist | 618 Bowens Mill Road Sw, Douglas, GA 31533 | 2009-01-22 |
| 1417112707 | Southern Community Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 315 S. Gaskin Ave, Douglas, GA 31533 | 2008-07-25 |
| Find all providers in zip 31533 | ||||
| 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 |
|---|---|---|---|---|
| 1043328800 | Mark D Moore | Optometrist | 504 Peterson Ave S, Douglas, GA 31533-5254 | 2006-08-29 |
| 1629089222 | Ellen Drury Fitzgerald | Optometrist | 1329 Ocilla Rd, Douglas, GA 31533-2213 | 2006-08-10 |
| 1023067915 | Wayne Hudson | Optometrist | 124 N 4th St, Douglas, WY 82633-2402 | 2006-05-08 |
| 1346205077 | Kevin Adam Murphy | Optometrist | 305 Shirley Ave, Douglas, GA 31533-2333 | 2006-04-18 |
| 1043270390 | Richard C. Annis IIi | Optometrist | 114 Blue Star Highway, Douglas, MI 49406-0280 | 2006-03-23 |
| 1104436922 | Kenneth Trevor Shealy | Optometrist | 1329 Ocilla Rd, Douglas, GA 31533-2213 | 2020-08-06 |
| 1669745345 | South Georgia Eye Partners PC | Optometrist | 200 Doctors Dr, Suite 290, Douglas, GA 31533-2201 | 2012-02-11 |
| 1053583476 | Richard C Annis Od PC | Optometrist | 114 Blue Star Highway, Douglas, MI 49406-0280 | 2008-03-26 |
| 1568668622 | Mihai Mocanu | Optometrist | 1450 Bowens Mill Rd Se, Douglas, GA 31533-1500 | 2007-06-25 |
| 1952421679 | Moore Optometry Services, Inc | Optometrist | 316 Gaskin Ave S, Douglas, GA 31533-0015 | 2007-03-29 |
| Find all providers in DOUGLAS | ||||
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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.