OrganizationActive
Dr Forecki and Associates, Ltd
NPI 1003092388 · Point of Service · Northlake, IL
Provider details
- NPI number
- 1003092388
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Diane Forecki, Optometrist/President(239) 229-6423
- License
- 046-007557 (IL)
Specialties & taxonomies
Managed Care Organizations
Practice location
137 W North Ave
Northlake, IL 60164-2316
Phone: (239) 229-6423
Approximate (ZIP-level) locationGet directions
Mailing address
13326 Island Rd
Fort Myers, FL 33905-1805
Registry dates
- Enumerated
- 2008-01-16
- Last updated
- 2015-01-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.