Horn Optometric, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

3092T Issued in OR

Legal business name

HORN OPTOMETRIC, LLC

Practice address

880 Golf View Dr Ste 101
Medford, OR 97504-8496

Phone

(541) 779-3797

Fax

(541) 842-2194

NPI assigned

Aug 30, 2006

Last updated

May 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jacqueline Rose Clair-Horn, O.D.NPI 1619082062

Title

Optometric Manager

Phone

(541) 779-3797

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 8

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.

• Jacqueline Rose Clair-Horn, O.D.

  • Optometrist
  • Medford, OR
  • NPI 1619082062
  Medicare reassignment Care Compare group Authorized official
• Damon James Hanson, O.D.

  • Optometrist
  • Medford, OR
  • NPI 1396006045
  Medicare reassignment Care Compare group NPD
• Tessa C Johnston, O. D.

  • Optometrist
  • Medford, OR
  • NPI 1174620835
  Medicare reassignment Care Compare group NPD
• Russell Hamilton Horn, OD

  • Optometrist
  • Medford, OR
  • NPI 1942211792
  Medicare reassignment Care Compare group
• Sara Beth Babek, O.D.

  • Optometrist
  • Medford, OR
  • NPI 1356877922
  Medicare reassignment NPD
• Kiana M Saqr, OD

  • Optometrist
  • White City, OR
  • NPI 1023666526
  Medicare reassignment NPD
• Barry Andrew Clegg, O.D.

  • Optometrist
  • Medford, OR
  • NPI 1578625612
  NPD (past)
• Shandell Wingler

  • Optician
  • Medford, OR
  • NPI 1821295023
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1407966203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 E BARNETT RD STE 108",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017903",
            "telephone_number": "541-779-3797",
            "fax_number": "541-779-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 GOLF VIEW DR STE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048496",
            "telephone_number": "541-779-3797",
            "fax_number": "541-842-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORN OPTOMETRIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "CLAIR-HORN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OPTOMETRIC MANAGER",
        "authorized_official_telephone_number": "541-779-3797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3092T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241391",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara G Hoppe, P.A.
• Rochelle Hopper
• Rose Kinsella Hopper, NP
• Adam Hopperstead
• Jeffrey Leo Horinek, MD
• Heather Lynn Horn, N.P.
• Julie Horn, PT
• Russell Hamilton Horn, OD
• Chelsea Nicole Hornbeck, EMT
• Katharine Horner

• Optometrist in Medford, OR
• Providers in Medford, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.