Provider Demographics
NPI:1366112401
Name:RAYMOND FOREHAND OD AND ASSOCIATES LLC
Entity type:Organization
Organization Name:RAYMOND FOREHAND OD AND ASSOCIATES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:FOREHAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-556-1610
Mailing Address - Street 1:13205 REAMS RD UNIT 152
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-9543
Mailing Address - Country:US
Mailing Address - Phone:407-258-3222
Mailing Address - Fax:
Practice Address - Street 1:13205 REAMS ROAD
Practice Address - Street 2:UNIT 152
Practice Address - City:WINDMERE
Practice Address - State:FL
Practice Address - Zip Code:34756-9543
Practice Address - Country:US
Practice Address - Phone:407-258-3222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-20
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty