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Kenneth G Forsythe (OD)

Kenneth G Forsythe (OD) is a health care provider specializes in Optometrist. He is associated with medical group practice ANDERSON AND SHAPIRO EYE SURGEONS, SC.

profile-icon Basic Information

Practice Location 1302 Broadway, Wisconsin Dells, WI 53965-1358, US
Practice Location Phone608-254-8383
Practice Location Fax608-253-6223
Specialty InOptometrist
Medical SchoolIllinois College Of Optometry At Chicago
Graduation Year1963
NPI ?1760434435
PECOS ID8820198054
Enrollment IDI20070717000255
Entity TypeIndividual
Enumeration Date ? May 17, 2006
Last Update Date ? Apr 29, 2014
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Kenneth G Forsythe

SpecialtySpecializationLicenseLicense State
Optometrist 1318-035Wisconsin

Medicare-icon Medicare Participation of Kenneth G Forsythe

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Kenneth G Forsythe

Medical Group PracticeAnderson And Shapiro Eye Surgeons, Sc

legacy-id-icon Legacy Provider IDs of Kenneth G Forsythe

Provider IdIssuer StateIssuer TypeIssuer
1006698WisconsinOtherPHYSICIANS PLUS