Forrest, Mark S
Forrest, Mark S is an sole proprietor health care provider with primary practice located at 1409 Lincoln Hwy , Levittown PA 19056-1137. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Forrest, Mark S can be contacted via phone (215) 943-4637.Contact Information
Primary practice address
1409 Lincoln Hwy
Levittown PA 19056-1137
Phone: (215) 943-4637
Fax: (215) 945-1425
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG000938 | Pennsylvania |
Profile Details
| NPI number | 1871531038 |
|---|---|
| LBN Legal business name | Forrest, Mark S |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Feb 20th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871531038 | NPPES |
| Pennsylvania | Other | 001682167 | HIGHMARK BLUE SHIELD ID |
| Pennsylvania | MEDICAID | 7758158 | HIGHMARK BLUE SHIELD ID |
| Pennsylvania | Other | 2356861000 | HIGHMARK BLUE SHIELD ID |
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