Waterman, Forrest Mark

Waterman, Forrest Mark is an individual health care provider with primary practice located at 928 Nj-73 , Evesham Township NJ 08053. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Waterman, Forrest Mark can be contacted via phone (856) 596-8883.

Contact Information

Primary practice address
928 Nj-73 Evesham Township NJ 08053
Phone: (856) 596-8883
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00695100 New Jersey

Profile Details

NPI number 1003447400
LBN Legal business name Waterman, Forrest Mark
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2020
Last updated Jul 21st, 2020 - about 4 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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