Provider Demographics
NPI:1003965427
Name:FORGACS, LAWRENCE STEVEN (OD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:STEVEN
Last Name:FORGACS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 MADISON AVE
Mailing Address - Street 2:STE 802
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-1128
Mailing Address - Country:US
Mailing Address - Phone:212-583-9000
Mailing Address - Fax:212-755-8479
Practice Address - Street 1:425 MADISON AVE
Practice Address - Street 2:STE 802
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1128
Practice Address - Country:US
Practice Address - Phone:212-583-9000
Practice Address - Fax:212-755-8479
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2013-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV0032591152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT23227Medicare PIN
T23227Medicare UPIN
NYC96781Medicare PIN