Forszt, Edward Arthur
Forszt, Edward Arthur is an sole proprietor health care provider with primary practice located at 5218 Bergenline Ave , West New York NJ 07093-5524. 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. Forszt, Edward Arthur can be contacted via phone (201) 974-2999.Contact Information
Primary practice address
5218 Bergenline Ave
West New York NJ 07093-5524
Phone: (201) 974-2999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0A4557 | New Jersey |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OA4557 | New Jersey |
Profile Details
| NPI number | 1780883652 |
|---|---|
| LBN Legal business name | Forszt, Edward Arthur |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2007 |
| Last updated | Jul 12th, 2007 - about 17 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 | 1780883652 | NPPES |
| New Jersey | MEDICAID | 5134102 | |
| New Jersey | Other | 5958154 |
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