NPI 1003447400

Forrest Mark Waterman, OD

Practitioner Optometrist Evesham Township, NJ

Practice location

Address: 928 Nj-73, Evesham Township, NJ 08053
Phone: (856) 596-8883
Mailing address: 4350 Tanner Rd, Nedrow, NY 13120-9719

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 27OA00695100 (NJ)

Other Optometrist providers in New Jersey →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in New Jersey →

Registry record

NPI: 1003447400
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Feb 2020
Record last updated: 21 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.