Individual
DR. JON L FORCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
698 S MILLEDGE AVE, ATHENS, GA 30605-1251
(706) 543-2020
(706) 549-6618
Mailing address
698 S MILLEDGE AVE, ATHENS, GA 30605-1251
(706) 543-2020
(706) 549-6618
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GA1740
GA
152WC0802X
Corneal and Contact Management Optometrist
GA1740
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000831377A
—
GA
05
—
000831377B
—
GA
01
—
582102247
COMMERCIAL
GA
01
—
667222
BCBS
GA
Enumeration date
08/17/2005
Last updated
06/29/2016
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