Active NPI
Blake H. Horio, M.D., LTD
- Ophthalmology Physician
- Hinsdale, IL
National Provider Identifier
1114115037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036-090898
- 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, 2008
- Organization subpart
- Yes
- Parent organization
- BLAKE H. HORIO, M.D, LTD
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001630006 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036090898 | Medicaid | IL | |
| 180028812 | Other | IL | RAILROAD MEDICARE |
Other names 1
- Blake H. Horio, M.D.
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
- 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.
-
- Retina Specialist (Ophthalmology) Physician
- Chicago, IL
- NPI 1639377260
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.