Individual provider Active NPI

Mark Abraham Horowitz, OD

  • Optometrist
  • Delray Beach, FL
National Provider Identifier
1043358823
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1155 Issued in FL
Practice address
1715 S Federal Hwy
Suite C-1
Delray Beach, FL 33483-3329
Phone
(561) 276-5099
Fax
(561) 274-9697
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1155 FL Primary
Corneal and Contact Management Optometrist 152WC0802X 1155 FL

Addresses

Primary practice location

1715 S Federal Hwy
Suite C-1
Delray Beach, FL 33483-3329

Mailing address

1715 S Federal Hwy
Suite C-1
Delray Beach, FL 33483-3329
Phone (561) 276-5099

Other identifiers 1

IdentifierTypeStateIssuer
084869900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1155FLMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1043358823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 S FEDERAL HWY",
            "address_2": "SUITE C-1",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833329",
            "telephone_number": "561-276-5099",
            "fax_number": "561-274-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 S FEDERAL HWY",
            "address_2": "SUITE C-1",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334833329",
            "telephone_number": "561-276-5099",
            "fax_number": "561-274-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOROWITZ",
        "first_name": "MARK",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "1155",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "1155",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084869900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.