DR. ALAN ROBERT FORMAN M.D. NPI 1174524771

NPI Information

NPI: 1174524771
Provider Name: DR. ALAN ROBERT FORMAN, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Address:
840 WALNUT ST
SUITE 1250
PHILADELPHIA, PA
ZIP 19107
Phone: (856) 547-6600
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DR. Alan Robert Forman, M.D. is an ophthalmology in Philadelphia, PA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DR. Alan Robert Forman, M.D. NPI is 1174524771. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

840 WALNUT ST
SUITE 1250
PHILADELPHIA, PA
ZIP 19107-109
Phone: (856) 547-6600

The enumeration date for this NPI number is 8/3/2005 and was last updated on 7/23/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207W00000X	Ophthalmology	25MA03043200	NEW JERSEY	No
2	207W00000X	Ophthalmology	229001	NEW YORK	No
3	207W00000X	Ophthalmology	MD020547E	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	762722	OTHER	PENNSYLVANIA	HIGHMARK BLUE SHIELD
2	C52878	MEDICARE UPIN
3	762722P80	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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