Larry E Forth O D P C
Larry E Forth O D P C is a healthcare organization registered as Optometrist in Fitzgerald, GA, holding Type 2 (organization) NPI 1306966791 since 2007. The authorized official on file is Larry Forth, Optometrist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1306966791 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Larry E Forth O D P C |
| Other name | <Unavail> |
| Practice address | 708 S GRANT ST, SUITE #18, Fitzgerald, GA, 31750 |
| Phone | 2294235556 |
| Fax | 2294235179 |
| Enumeration date | 2007-03-30 |
| Last updated in NPPES | 2008-10-20 |
Authorized official
| Name | Larry Forth |
|---|---|
| Title | Optometrist |
| Phone | 2294235556 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | OPT000842 | GA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000151819C | Medicaid | GA | — |
| 117755 | Other | GA | EYEMED VISION CARE |
Copy-ready billing details
Provider: Larry E Forth O D P C NPI: 1306966791 Taxonomy: 152W00000X (Optometrist) Address: 708 S GRANT ST, SUITE #18, Fitzgerald, GA, 31750
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1457572513 | Maurice Freeman | Individual | Dentist | Fitzgerald, GA |
Verify this record
Cross-check NPI 1306966791 against the authoritative CMS record: view Larry E Forth O D P C on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Larry E Forth O D P C located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2008-10-20.