Individual
WILLIAM R. FORSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1 OUTLET LN, SUITE 310, LOCK HAVEN, PA 17745-9794
(570) 769-2877
(570) 769-2879
Mailing address
PO BOX 524, MC ELHATTAN, PA 17748-0524
(570) 769-2877
(570) 769-2879
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000027
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001863439
—
PA
01
—
1900886
HIGHMARK BLUE SHIELD
PA
01
—
75790 163H
GEISINGER
PA
Enumeration date
04/26/2006
Last updated
09/29/2008
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