Provider Demographics
NPI:1902224173
Name:FORTE, DORIS D (OD)
Entity Type:Individual
Prefix:DR
First Name:DORIS
Middle Name:D
Last Name:FORTE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4606 LAUREL HEIGHTS CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-3667
Mailing Address - Country:US
Mailing Address - Phone:281-728-7081
Mailing Address - Fax:
Practice Address - Street 1:11341 HILLARD STREET
Practice Address - Street 2:ELLINGTON AIR STATION
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034
Practice Address - Country:US
Practice Address - Phone:281-464-4617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-03
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2380T152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management