Organization
FORSYTH OPTOMETRIC GROUP,PA
Active
Other names
Eye Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL GREGORY FORSYTH OD (CO OWNER)
(919) 847-0051
Entity
Organization
Contact information
Practice address
101 SAWMILL RD, RALEIGH, NC 27615-6148
(919) 847-0051
(919) 846-9003
Mailing address
101 SAWMILL RD, RALEIGH, NC 27615-6148
(919) 847-0051
(919) 846-9003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1241
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104911635
INDIVIDUAL NPI
NC
01
—
1164592523
INDIVIDUAL NPI
NC
01
—
1831258912
GROUP NPI
NC
01
—
2348490
PTAN
NC
Enumeration date
12/06/2006
Last updated
10/09/2014
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