Individual
DR. DEBBIE SHEILA FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4200 CONROY RD, SPACE L-201, ORLANDO, FL 32839-2400
(407) 903-1018
(407) 903-1066
Mailing address
4200 CONROY RD, SPACE L-201, ORLANDO, FL 32839-2400
(407) 903-1018
(407) 903-1066
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2961
FL
152WC0802X
Corneal and Contact Management Optometrist
OPC2961
FL
152WX0102X
Occupational Vision Optometrist
OPC 2961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1349
ARIZONA LICENSE NUMBER
AZ
05
—
620190300
—
FL
01
—
OPC 2961
FLORIDA LICENSE NUMBER
FL
Enumeration date
05/15/2007
Last updated
05/03/2016
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