Robert H Hornberger Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV00A90A1 Issued in NY

Practice address

902 Main St
Buffalo, NY 14202-1493

Phone

(716) 883-9550

Fax

(716) 883-9551

NPI assigned

Oct 27, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eyes Exclusive

  • Optometrist
  • Buffalo, NY
  • NPI 1124754213
  NPD Authorized official
• Gowanda Eye Care, Inc.

  • Optician
  • Gowanda, NY
  • NPI 1922181080
  NPD (past)
• South Park Optical, Inc.

  • Eyewear Supplier
  • Blasdell, NY
  • NPI 1700974946
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1033109293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAIN ST UNIT 1203",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021919",
            "telephone_number": "716-863-4030",
            "fax_number": "716-883-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021493",
            "telephone_number": "716-883-9550",
            "fax_number": "716-883-9551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "846 Main St Ste R4",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142021442",
            "country_code": "US",
            "telephone_number": "716-300-8482",
            "fax_number": "716-551-0743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2507 Harlem Rd",
            "address_purpose": "LOCATION",
            "city": "Cheektowaga",
            "state": "NY",
            "postal_code": "142254500",
            "country_code": "US",
            "telephone_number": "716-893-0633",
            "fax_number": "716-893-0635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNBERGER",
        "first_name": "ROBERT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV00A90A1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01086277",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Horizon Human Services
• Horizon Village
• Brianna Christine Horn
• Laura Horn, TSHH/M.S. SP. ED.
• Charles Joseph Hornberger III, OD
• Taylor Ann Hornberger
• Arynn Horne, PA
• Molly Horne
• Taylor Elizabeth Horne, NP
• Olivia Mae Horner, DC

• Optometrist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.