Individual provider Active NPI

Jacquelyn Marie Horst, O.D.

  • Optometrist
  • Reading, PA
National Provider Identifier
1164652772
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG002229 Issued in PA
Practice address
4617 Perkiomen Ave
Reading, PA 19606-3217
Phone
(484) 651-1940
NPI assigned
Jul 16, 2009
Last updated
Jul 16, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002229 PA Primary

Addresses

Primary practice location

4617 Perkiomen Ave
Reading, PA 19606-3217

Mailing address

4617 Perkiomen Ave
Reading, PA 19606-3217
Phone (484) 651-1940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20100921001213 PA Practitioner - Optometry 1153447644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berks Eye Physicians and Surgeons LTDGroup PAC ID 6406845494, 8 clinicians

Practice addresses (Care Compare)

1802 Papermill Rd
Wyomissing, PA 19610-1100
Phone (610) 372-0712

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG002229PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Berks Eye Physicians & Surgeons LTD Optometrist CurrentSince Aug 2, 2010 Accepting new patients
America's Best Contact & Eyeglasses Past Accepting new patients

Locations

1802 Papermill Rd
Wyomissing, PA 19610
Phone (610) 372-0712

Organizations & group practices 2

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1164652772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 PERKIOMEN AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196063217",
            "telephone_number": "484-651-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 PERKIOMEN AVE",
            "city": "READING",
            "state": "PA",
            "postal_code": "196063217",
            "telephone_number": "484-651-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORST",
        "first_name": "JACQUELYN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.