| Larry E. Forth O.d.p.c. | |
|
200 Doctors Drive, Suite 105, Douglas, GA 31533 | |
| (912) 384-1840 | |
| (912) 384-5976 |
| Full Name | Larry E. Forth O.d.p.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 200 Doctors Drive, Douglas, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316065725 | NPI | - | NPPES |
| 117755 | Other | GA | EYEMED VISION CARE |
| 000151819C | Medicaid | GA | |
| 410027578 | Other | GA | RAIL ROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 842T (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Larry E. Forth O.d.p.c. Post Office Box 2740, Douglas, GA 31534 Ph: (912) 384-1840 | Larry E. Forth O.d.p.c. 200 Doctors Drive, Suite 105, Douglas, GA 31533 Ph: (912) 384-1840 |
Dr. Mark D Moore, OD Optometrist Medicare: Medicare Enrolled Practice Location: 504 Peterson Ave S, Douglas, GA 31533 Phone: 912-389-1230 Fax: 912-389-1260 | |
Kenneth Trevor Shealy, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1329 Ocilla Rd, Douglas, GA 31533 Phone: 912-393-0005 Fax: 912-393-0058 | |
Fitzgerald Family Eyecare, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 1329 Ocilla Rd, Douglas, GA 31533 Phone: 912-393-0005 Fax: 912-393-0058 | |
Murphy Eye Center Optometrist Medicare: Medicare Enrolled Practice Location: 305 Shirley Ave, Douglas, GA 31533 Phone: 912-383-7212 Fax: 912-384-4924 | |
Dr. Kevin Adam Murphy, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 305 Shirley Ave, Douglas, GA 31533 Phone: 912-383-7212 Fax: 912-384-4924 | |
Mihai Mocanu, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1450 Bowens Mill Rd Se, Douglas, GA 31533 Phone: 912-384-0119 |