Organization
DR. MARK S. FORREST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S FORREST O.D. (OWNER)
(215) 943-4637
Entity
Organization
Contact information
Practice address
1409 LINCOLN HWY, LEVITTOWN, PA 19056-1137
(215) 943-4637
(215) 945-1425
Mailing address
1409 LINCOLN HWY, LEVITTOWN, PA 19056-1137
(215) 943-4637
(215) 945-1425
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE000938
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033159108
1BC, PBS
PA
01
—
1871531038
IBC, PBS
PA
Enumeration date
10/25/2006
Last updated
08/22/2020
Update your record
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