Individual provider Active NPI

Andrew V Horvath, OD

  • Optometrist
  • Roanoke, VA
National Provider Identifier
1447209929
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001639 Issued in VA
Practice address
5049A Valley View Blvd NW
Roanoke, VA 24012-2037
Phone
(540) 362-7565
Fax
(540) 563-0441
NPI assigned
May 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL
Optometrist 152W00000X 0618001639 VA Primary

Addresses

Primary practice location

5049A Valley View Blvd NW
Roanoke, VA 24012-2037

Mailing address

301 Northwynd Circle
Apt 906
Lynchburg, VA 24502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20080708000222 VA Practitioner - Optometry 9638100092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jared P Quesenberry OD PLLCGroup PAC ID 8022234616, 2 clinicians
Kraderod LLCGroup PAC ID 5597177592, 2 clinicians

Practice addresses (Care Compare)

1332 Lowry St
A
Bedford, VA 24523-3312
Phone (540) 586-9575

3938 S Amherst Hwy
Madison Heights, VA 24572-5963
Phone (434) 582-9694

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046-009695ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kraderod LLC Optometrist CurrentSince Dec 1, 2024 Accepting new patients
Jared P Quesenberry, OD, PLLC Optometrist CurrentSince Sep 12, 2025 Accepting new patients
O Victor Weatherholt PC Optometrist PastSince Dec 1, 2024 Accepting new patients
David M Harman MD LLC Optometrist Past Accepting new patients
Johnson Curran Optometry Centers PC Optometrist PastSince Aug 1, 2005 Accepting new patients
Luxottica of America Inc Past Accepting new patients
Luxottica of America Inc. Past Accepting new patients

Locations

1332 Lowry St
#A
Bedford, VA 24523
Phone (540) 586-9575

1332A Lowry St
Bedford, VA 24523
Phone (540) 586-9575

1912 Graves Mill Rd
Lynchburg, VA 24502
Phone (434) 385-7898

3938 S Amherst Hwy
Madison Hts, VA 24572
Phone (434) 582-9694

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447209929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NORTHWYND CIRCLE",
            "address_2": "APT 906",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24502",
            "fax_number": "434-239-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5049A VALLEY VIEW BLVD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240122037",
            "telephone_number": "540-362-7565",
            "fax_number": "540-563-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORVATH",
        "first_name": "ANDREW",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.