NPIMap

Organization Active NPI

Horizon Eye Care, PA

  • Ophthalmology Physician
  • Charlotte, NC
National Provider Identifier
1235192113
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
HORIZON EYE CARE, PA
Practice address
135 S Sharon Amity Rd
Suite 100
Charlotte, NC 28211-2842
Phone
(704) 365-0555
Fax
(704) 367-8122
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Authorized official

Name
Vicky S Harmon
Title
Managed Care/Credentialing Coord
Phone
(704) 405-4183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X NC Primary

Addresses

Primary practice location

135 S Sharon Amity Rd
Suite 100
Charlotte, NC 28211-2842

Mailing address

PO Box 60160
Charlotte, NC 28260-0160
Phone (704) 365-0555

Other identifiers 2

IdentifierTypeStateIssuer
890256QMedicaidNC
NPA562MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20041102001221 NC Part B Supplier - Clinic/Group Practice 2163484072 Receives reassigned benefits from 29 practitioners
Practice locations: Charlotte, NC; Mooresville, NC; Huntersville, NC
O20221207001652 SC Part B Supplier - Clinic/Group Practice 2163484072 Receives reassigned benefits from 8 practitioners
Practice locations: Rock Hill, SC
O20250325003820 NC DME Supplier - Physician - OptometristDME Supplier - Optician 2163484072 Practice locations: Charlotte, NC

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Horizon Eye Care PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7903 Providence Rd
Ste 150
Charlotte, NC 28277
Phone (704) 341-3220

10512 Park Rd
Ste 200
Charlotte, NC 28210
Phone (704) 295-3650

135 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 365-0555

10520 Park Rd
Ste 100
Charlotte, NC 28210

11835 Southmore Dr
Charlotte, NC 28277
Phone (704) 341-3220

10834 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 717-0058

9417 Westmoreland Rd
Cornelius, NC 28031
Phone (704) 365-0555

15419 Hodges Cir
Huntersville, NC 28078
Phone (704) 892-1000

15419 Hodges Cir
Ste 100
Huntersville, NC 28078
Phone (704) 892-1000

525 Brookdale Dr
Statesville, NC 28677
Phone (704) 761-0200

410 Herlong Ave S
Rock Hill, SC 29732

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1235192113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60160",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600160",
            "telephone_number": "704-365-0555",
            "fax_number": "704-367-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S SHARON AMITY RD",
            "address_2": "SUITE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112842",
            "telephone_number": "704-365-0555",
            "fax_number": "704-367-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON EYE CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGED CARE/CREDENTIALING COORD",
        "authorized_official_telephone_number": "704-405-4183"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890256Q",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPA562",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.