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COLONY OPTICAL
NPI 1306966791
Optometrist in Fitzgerald, GA

Active since March 30, 2007
708 S GRANT ST, SUITE #18, FITZGERALD, GA 31750(229) 423-5556(229) 423-5179 Get Directions Write a Review

NPPES record last updated: October 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Colony Optical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLONY OPTICAL (NPI 1306966791) is a healthcare organization registered as an optometrist in Fitzgerald, Georgia and active in the NPI registry since March 2007. The organization lists Larry E Forth, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1306966791
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameLARRY E FORTH O D P C
Location Address708 S GRANT ST, SUITE #18Fitzgerald, GA 31750
Mailing Address708 S Grant St Suite #18, Po Box 5209Fitzgerald, GA 31750 · (229) 423-5556 · Fax (229) 423-5179
Phone(229) 423-5556
Fax(229) 423-5179
Organization SubpartNo
Authorized OfficialLarry E ForthOptometrist · (229) 423-5556
Enumeration DateMarch 30, 2007
Last NPPES UpdateOctober 20, 2008
✔ NPI 1306966791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in GA · OPT000842
Definition
Doctors 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.
708 S GRANT ST, Fitzgerald, GA 31750
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Other Names 1

Doing Business AsColony Optical

Other Identifiers 6

Other117755GA · Eyemed Vision Care
Medicare PIN55458854SAGA
Medicare PIN410027578GA
Medicare UPINT97581GA
Medicaid000151819CGA
Medicare NSC0516640002GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MAURICE JEROME FREEMAN D.M.D.
Dentist
708 S GRANT ST, BLDG 20
FITZGERALD, GA 31750
Ben Hill County (229) 423-9308

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry E Forth O D P C's NPI number?

The NPI number for Larry E Forth O D P C is 1306966791. It was assigned to this organization in the NPPES registry on March 30, 2007. The provider is doing business as Colony Optical.

Where is Larry E Forth O D P C located?

Larry E Forth O D P C is located at 708 S Grant St Suite #18, Fitzgerald, GA 31750. The listed phone number is (229) 423-5556.

What is Larry E Forth O D P C's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Larry E Forth O D P C was last updated on October 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.