Organization Active NPI

Blake H. Horio, M.D., LTD

  • Ophthalmology Physician
  • Hinsdale, IL
National Provider Identifier
1114115037
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036-090898 Issued in IL
Legal business name
BLAKE H. HORIO, M.D., LTD
Practice address
710 N York Rd
Hinsdale, IL 60521-3555
Phone
(630) 734-2000
Fax
(630) 734-1090
NPI assigned
Oct 4, 2007
Last updated
Jul 11, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
BLAKE H. HORIO, M.D, LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Dr. Blake H Horio, M.D.
Title
Owner/Physician
Phone
(630) 734-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036-090898 IL Primary

Addresses

Primary practice location

710 N York Rd
Hinsdale, IL 60521-3555

Mailing address

PO Box 643
Hinsdale, IL 60522-0643
Phone (630) 734-2000

Other identifiers 3

IdentifierTypeStateIssuer
0001630006OtherILBLUE CROSS BLUE SHIELD
036090898MedicaidIL
180028812OtherILRAILROAD MEDICARE

Other names 1

  • Blake H. Horio, M.D. Other name

National Provider Directory

National Provider Directory
Part of
Blake H Horio MD LD

Locations

3477 Grand Ave
Gurnee, IL 60031
Phone (847) 249-4660

710 N York Rd
Hinsdale, IL 60521
Phone (630) 734-2000

47 E Chicago Ave
Naperville, IL 60540
Phone (630) 369-4880

Interoperability endpoints

  • Direct secure messaging: bhorio@retinagroup.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1114115037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605220643",
            "telephone_number": "630-734-2000",
            "fax_number": "630-734-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N YORK RD",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213555",
            "telephone_number": "630-734-2000",
            "fax_number": "630-734-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE H. HORIO, M.D., LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLAKE H. HORIO, M.D, LTD",
        "enumeration_date": "2007-10-04",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "HORIO",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "630-734-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-090898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001630006",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090898",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180028812",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blake H. Horio, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.