Horace W. Linder, O.D.
Individual provider Active NPI Optometrist · Henagar, AL
NPI 1316901028 · NPPES record last updated Nov 17, 2008
Key facts
- NPI
- 1316901028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- S323TA332 (AL)
- Practice address
- 17154 Al Hwy 75
Henagar, AL 35978 - Phone
- (256) 657-3453
- Fax
- (256) 657-3294
- NPI assigned
- Apr 12, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S323TA332 | AL | MD | Optometrist |
| 325 | AL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henagar Eye Clinic Inc | Past | Accepting new patients | |
| Gulf Coast Vision Center, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S323TA332 | AL | Yes |
Addresses
Primary practice location
17154 Al Hwy 75
Henagar, AL 35978
Mailing address
P.O. Box 236
Henagar, AL 35978
Phone (256) 657-3453
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0529150001 | Other | AL | PALMETTO GBA |
| 000810977 | Medicaid | AL |
Other providers in Henagar, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.