Dr. Forrest Mark Waterman
Optometrist
928 Nj-73
Evesham Township
, New Jersey 08053
Dr. Forrest Mark Waterman
Optometrist
928 Nj-73
Evesham Township
, New Jersey 08053
(315) 481-3279
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Forrest Mark Waterman
- 4350 Tanner Rd
- Nedrow, NY
- Zip : 13120-9719
- Phone : (315) 481-3279
Second Address
- Dr. Forrest Mark Waterman
- 928 Nj-73
- Evesham Township, NJ
- Zip : 08053
- Phone : (856) 596-8883
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 27OA00695100 | NJ |
National Provider Identifier
| NPI | 1003447400 |
|---|---|
| Provider Name | Dr. Forrest Mark Waterman |
| First Address | Nedrow, NY 13120-9719 |
| Second Address | Evesham Township, NJ 08053 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/02/2020 |
| Last Update Date | 21/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.