National Provider Identifier

Peter Wm Forgach, M.D.

Peter Wm Forgach, M.D. is listed in the NPPES registry with a primary specialty of Ophthalmology Physician in Williamsville, NY and a listed phone number of (716) 633-7386.

NPI 1427051515Williamsville, NYOphthalmology Physician

Profile Overview

NPI
1427051515
Provider Type
Individual
Primary Specialty
Ophthalmology Physician
Enumeration Date
May 23, 2005
Last Updated
July 09, 2007

Practice Location

  • 405 International Dr
  • Williamsville, NY 14221-5725

Phone: (716) 633-7386

Specialties

  • Ophthalmology Physician (207W00000X)
Full Record
NPI
1427051515
Entity Type
Individual
Last Name
Forgach
First Name
Peter
Middle Name
Wm
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
405 International Dr
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-5725
Mailing Country
US
Mailing Phone
(716) 633-7386
Mailing Fax
(716) 633-7970
Practice Street Address
405 International Dr
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5725
Practice Country
US
Practice Phone
(716) 633-7386
Practice Fax
(716) 633-7970
Enumeration Date
May 23, 2005
Last Updated
July 09, 2007
Deactivation Date
March 16, 2006
Reactivation Date
March 24, 2006
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Ophthalmology Physician (207W00000X)
Other Identifiers
00508006001 (NY, Blue Cross Provider Id), 08-03548 (NY, Iha Provider Id), 117465-5 (NY, Workers' Compensation Id), 00630873 (NY), 00010308501 (NY, Univera Provider Id), Y019761 (NY, Champus Provider Id)