Active NPI
Fraser Campbell Horn, O.D.
- Sports Vision Optometrist
- Forest Grove, OR
National Provider Identifier
1467436766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Vision Optometrist
- License
- 3111AT
- Practice address
- 2043 College Way
Forest Grove, OR 97116-1756 - Phone
- (503) 357-2020
- NPI assigned
- Dec 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Vision Optometrist | 152WS0006X | 3111AT | OR | Primary |
Addresses
Primary practice location
2043 College Way
Forest Grove, OR 97116-1756
Mailing address
2043 College Way
Forest Grove, OR 97116-1756
Phone (503) 357-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific University | Current | Accepting new patients | |
| Pacific University | Current | Accepting new patients | |
| Bruce R Wojciechowski | Past | Accepting new patients | |
| Northwest Eye Care LLC | Past | Accepting new patients |
Locations
2043 College Way
Forest Grove, OR 97116
Phone (503) 352-2020
222 SE 8th Ave
Ste 114
Hillsboro, OR 97123
Phone (503) 352-7300
Interoperability endpoints
- fhorn315791@direct.ochin.org
Organizations & group practices 4
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.
-
- Optometrist
- Hillsboro, OR
- NPI 1306954011
-
- Audiologist-Hearing Aid Fitter
- Hillsboro, OR
- NPI 1497179717
-
- Optometrist
- Clackamas, OR
- NPI 1699976530
-
- Optometrist
- Clackamas, OR
- NPI 1669856902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240790400000",
"number": "1467436766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2043 COLLEGE WAY",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971161756",
"telephone_number": "503-357-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2043 COLLEGE WAY",
"city": "FOREST GROVE",
"state": "OR",
"postal_code": "971161756",
"telephone_number": "503-357-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORN",
"first_name": "FRASER",
"middle_name": "CAMPBELL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-01",
"last_updated": "2009-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "OR",
"license": "3111AT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.