Provider Demographics
NPI:1750552469
Name:FORSTER EYE CARE, P.C.
Entity type:Organization
Organization Name:FORSTER EYE CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:770-513-3300
Mailing Address - Street 1:725 WALTHER RD
Mailing Address - Street 2:BUILDING 100
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-8725
Mailing Address - Country:US
Mailing Address - Phone:770-513-3300
Mailing Address - Fax:678-990-8252
Practice Address - Street 1:725 WALTHER RD BLDG 100
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-8725
Practice Address - Country:US
Practice Address - Phone:770-513-3300
Practice Address - Fax:678-990-8252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1383T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA410044702OtherRAILROAD MEDICARE
GA4070140001Medicare NSC
GA410044702OtherRAILROAD MEDICARE
GA41ZCDTZMedicare PIN