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General NPI Number Information
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NPI Number | 1750552469
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Entity Type | Organization
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Legal Business Name | FORSTER EYE CARE, P.C.
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 725 WALTHER RD BLDG 100
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-8725
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Country | US
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Telephone | 770-513-3300
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Fax | 678-990-8252
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Provider Business Mailing Address
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Address Line | 725 WALTHER RD BUILDING 100
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-8725
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Country | US
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Telephone | 770-513-3300
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Fax | 678-990-8252
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Authorized Official
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Title or Position | OWNER
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Name | TYRA MYERS
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Credential | OD
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Telephone | 770-513-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1383T
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License Number State | GA
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