Organization Active NPI

Medina Vision Associates, PLLC

  • Optometrist
  • Hondo, TX
National Provider Identifier
1073645958
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5668TG Issued in TX
Legal business name
MEDINA VISION ASSOCIATES, PLLC
Practice address
109 22ND Street
Hondo, TX 78861-2514
Phone
(830) 741-8555
Fax
(830) 741-8557
NPI assigned
Mar 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Neil Michael Horner, O.D.
Title
Optometrist
Phone
(830) 741-8555

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5668TG TX Primary
Optometrist 152W00000X 4440T TX

Addresses

Primary practice location

109 22ND Street
Hondo, TX 78861-2514

Mailing address

109 22ND Street
Hondo, TX 78861-2514
Phone (830) 741-8555

National Provider Directory

National Provider Directory

Locations

109 22nd St
Hondo, TX 78861
Phone (830) 426-3305

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073645958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 22ND STREET",
            "city": "HONDO",
            "state": "TX",
            "postal_code": "788612514",
            "telephone_number": "830-741-8555",
            "fax_number": "830-741-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 22ND STREET",
            "city": "HONDO",
            "state": "TX",
            "postal_code": "788612514",
            "telephone_number": "830-741-8555",
            "fax_number": "830-741-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA VISION ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HORNER",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "830-741-8555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5668TG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4440T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hondo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.