Individual provider Active NPI

Jeffery Jay Horacek, OD

  • Optometrist
  • Frisco, TX
National Provider Identifier
1437346772
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3641T Issued in TX
Practice address
8992 Preston Road
Suite 106
Frisco, TX 75034-3964
Phone
(972) 335-8686
Fax
(972) 377-6556
NPI assigned
Oct 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3641T TX Primary

Addresses

Primary practice location

8992 Preston Road
Suite 106
Frisco, TX 75034-3964

Mailing address

8992 Preston Road
Suite 106
Frisco, TX 75034-3964
Phone (972) 335-8686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150723007856 TX Practitioner - Optometry 2365755097 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3641TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Optical of Frisco LLC Optometrist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1437346772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8992 PRESTON ROAD",
            "address_2": "SUITE 106",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343964",
            "telephone_number": "972-335-8686",
            "fax_number": "972-377-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8992 PRESTON ROAD",
            "address_2": "SUITE 106",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343964",
            "telephone_number": "972-335-8686",
            "fax_number": "972-377-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORACEK",
        "first_name": "JEFFERY",
        "middle_name": "JAY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3641T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.