Atlas, Steve Forrest

Atlas, Steve Forrest is an sole proprietor health care provider with primary practice located at 8128 W Broward Blvd , Plantation FL 33324-2012. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Atlas, Steve Forrest can be contacted via phone (954) 475-1611.

Contact Information

Primary practice address
8128 W Broward Blvd Plantation FL 33324-2012
Fax: (954) 475-7704
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC1521 Florida
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OPC1521 Florida

Profile Details

NPI number 1194824789
LBN Legal business name Atlas, Steve Forrest
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Feb 1st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194824789 NPPES
Florida MEDICAID 078131200

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