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FOREST L CALHOUN JR NPI 1730378126


NPI Information

NPI: 1730378126
Provider Name: FOREST L CALHOUN JR

Doing Business As: WEDGWOOD OPTICAL

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
5709 WESTCREEK DR
FORT WORTH, TX
ZIP 76133
Phone: (817) 292-1622
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FOREST L CALHOUN JR is a durable medical equipment medical supplies in Fort Worth, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. FOREST L CALHOUN JR NPI is 1730378126. The provider is registered as an organization entity type.
The provider Is Doing Business As Wedgwood Optical.

The provider's business location address is:

5709 WESTCREEK DR
FORT WORTH, TX
ZIP 76133-301
Phone: (817) 292-1622
Fax: (817) 423-2313

The provider's authorized official is Forest L Calhoun .
The authorized official title is Owner and has the following contact phone number (817) 292-1622.

The enumeration date for this NPI number is 10/22/2007 and was last updated on 7/23/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11914483 01MEDICAIDTEXAS
20911420001MEDICARE NSCTEXAS

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: 4/28/2024

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