Hornell Eye Associates LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

004055 Issued in NY

Legal business name

HORNELL EYE ASSOCIATES LLC

Practice address

34 Broadway Mall
Hornell, NY 14843-1920

Phone

(607) 324-4822

NPI assigned

Jan 10, 2008

Organization subpart

No

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

Authorized official

Name

Kelly Forshee

Title

Owner

Phone

(607) 324-4822

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1336325158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BROADWAY MALL",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431920",
            "telephone_number": "607-324-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BROADWAY MALL",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431920",
            "telephone_number": "607-324-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORNELL EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "FORSHEE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-324-4822"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "004055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00465816",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00879314",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01624708",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Hornbeck
• Hornell City School District
• Hornell City School District
• Hornell Dental Professionals, LLP
• Hornell Eye Associates
• Hornell Gardens, LLC
• Hornell Internal Medicine & Nephrology, PC
• Hornell Medical Group PC
• Hornell Surgical Group
• Alicia Marie Hubbard, MTBC

• Optometrist in Hornell, NY
• Providers in Hornell, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.