DR. FORREST MARK WATERMAN O.D. NPI 1003447400

Optometrist in Marlton, NJ

Individual Male Optometrist

About FORREST WATERMAN

Forrest Waterman is a provider established in Marlton, New Jersey and his medical specialization is optometrist. The NPI number of Forrest Waterman is 1003447400 and was assigned on February 2020. The practitioner's primary taxonomy code is 152W00000X with license number 27OA00695100 (NJ). The provider is registered as an individual and his NPI record was last updated March 2020.

NPI

1003447400

Provider NameDR. FORREST MARK WATERMAN O.D.
Provider Location Address100 BRICK RD MARLTON, NJ 08053
Provider Mailing Address4350 TANNER RD NEDROW, NY 13120
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-04-2020
Last Update Date03-10-2020

Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.27OA00695100
License StateNJ
Taxonomy DescriptionDoctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Business Address

DR. FORREST MARK WATERMAN O.D.
100 BRICK RD
MARLTON, NJ
ZIP 08053
Phone: (856) 983-1400
Fax: (856) 983-1681

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Mailing Address

DR. FORREST MARK WATERMAN O.D.
4350 TANNER RD
NEDROW, NY
ZIP 13120
Phone: (315) 481-3279

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramNo

Taxonomy Description: an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043309487 HARRY DAVID GROSSMAN M.D.
Individual
Ophthalmology100 BRICK RD SUITE 115
MARLTON, NJ 08053
(856) 983-1400
1063557114PHILADELPHIA HEALTH & EDUCATION CORP.
Organization
Internal Medicine (Nephrology)100 BRICK RD SUITE 302
MARLTON, NJ 08053
(856) 755-9444
1083749501DR. PHILIP GETSON D.O.
Individual
Family Medicine100 BRICK RD SUITE 206
MARLTON, NJ 08053
(856) 983-7246
1093809238 MARTIN KARL BELSKY D.O.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)100 BRICK RD SUITE # 108
MARLTON, NJ 08053
(856) 810-7337
1215960752GARDEN STATE MEDICAL ASSOC P A
Organization
Neuromusculoskeletal Medicine & OMM100 BRICK RD SUITE 209
MARLTON, NJ 08053
(856) 983-2848
1215975784ACCEL PEDIATRICS, P.A.
Organization
Pediatrics100 BRICK RD
MARLTON, NJ 08053
(856) 988-7772
1245285634ATLANTIC LITHOTRIPSY LLC
Organization
Clinic/Center (Lithotripsy)100 BRICK RD SUITE 103
MARLTON, NJ 08053
(856) 983-7337
1447300918SJ KIDNEY DISEASE & HYPERTENSION CENTER LLC
Organization
Internal Medicine (Nephrology)100 BRICK RD SUITE 304
MARLTON, NJ 08053
(856) 988-7009
1578628772SHORE IMAGING ASSOCIATES MARLTON LLC
Organization
Clinic/Center (Magnetic Resonance Imaging (MRI))100 BRICK RD SUITE #101
MARLTON, NJ 08053
(856) 983-5599
1639297203NERMIN LAZARUS, DO LLC
Organization
Family Medicine100 BRICK RD SUITE 210
MARLTON, NJ 08053
(856) 596-4470
1649475369MARTIN K BELSKY DO PC
Organization
Independent Medical Examiner100 BRICK RD SUITE #108
MARLTON, NJ 08053
(856) 810-7337
1649479379GASTROENTEROLOGY ASSOCIATES PA
Organization
Internal Medicine (Gastroenterology)100 BRICK RD SUITE 216
MARLTON, NJ 08053
(856) 596-5559
1669527032ADVANCED RADIOLOGY OF RIVERWINDS, LLC
Organization
Radiology (Diagnostic Radiology)100 BRICK RD SUITE 100
MARLTON, NJ 08053
(856) 415-0413
1730248105HARRY GROSSMAN MD PA
Organization
Ophthalmology100 BRICK RD SUITE 115
MARLTON, NJ 08053
(856) 983-1400
1750314274DR. JESSE VITO LOMONACO D.O.
Individual
Neuromusculoskeletal Medicine & OMM100 BRICK RD SUITE 209
MARLTON, NJ 08053
(856) 983-2848
1780668749DR. NERMIN A LAZARUS DO
Individual
Family Medicine100 BRICK RD SUITE 210
MARLTON, NJ 08053
(856) 596-4470
1831305218HARRY GROSSMAN, MD
Organization
Eyewear Supplier100 BRICK RD 115
MARLTON, NJ 08053
(856) 983-1400
1912946724DR. XIAOPING MA M.D., PH.D.
Individual
Specialist100 BRICK RD SUITE 304
MARLTON, NJ 08053
(856) 988-9888
1952483323BZ GASTROINTESTINAL PA
Organization
Internal Medicine (Gastroenterology)100 BRICK RD SUITE 300
MARLTON, NJ 08053
(856) 983-1333
1992793590DR. JEFFREY JAY SOROKIN M.D.
Individual
Internal Medicine (Gastroenterology)100 BRICK RD SUITE 216
MARLTON, NJ 08053
(856) 596-5559

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
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?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.