Active NPI
Connor Horne, OD
- Optometrist
- Martinez, GA
National Provider Identifier
1487330346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003498
- Practice address
- 258 Bobby Jones Expy
Martinez, GA 30909 - Phone
- (706) 868-7000
- Fax
- (706) 868-5570
- NPI assigned
- Jun 26, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT003498 | GA | Primary |
Addresses
Primary practice location
258 Bobby Jones Expy
Martinez, GA 30909
Mailing address
2910 Pointewest Dr
Augusta, GA 30909
Phone (904) 613-3435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT003498 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Optometry, PA | Current | Accepting new patients |
Locations
1851 Manchester Expy
Ste B
Columbus, GA 31904
Phone (706) 653-2020
258 Bobby Jones Expy
Martinez, GA 30907
Phone (706) 868-7000
7917 Abercorn St
Savannah, GA 31406
Phone (912) 421-3350
Organizations & group practices 1
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": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687737600000",
"number": "1487330346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 POINTEWEST DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30909",
"telephone_number": "904-613-3435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 BOBBY JONES EXPY",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "30909",
"telephone_number": "706-868-7000",
"fax_number": "706-868-5570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNE",
"first_name": "CONNOR",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-26",
"last_updated": "2023-06-26",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.