Samantha Hornberger, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003378B Issued in IN

Practice address

24173 Stateline Rd
Ste 200
Lawrenceburg, IN 47025-7351

Phone

(859) 283-0068

Fax

(859) 283-1096

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Indiana Professional PCGroup PAC ID 2365826179, 30 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Aeg Indiana Professional PC

  • Optometrist
  • Warsaw, IN
  • NPI 1043944127
  Medicare reassignment Care Compare group NPD
• Bright Family Eye Care LLC

  • Optometrist
  • West Harrison, IN
  • NPI 1104267269
  Medicare reassignment NPD Authorized official
• Samantha Hornberger

  • Optometrist
  • Florence, KY
  • NPI 1700013844
  NPD (past) Authorized official
• Indiana University

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1689790552
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1528018199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24173 STATELINE RD",
            "address_2": "STE 200",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470257351",
            "telephone_number": "859-283-0068",
            "fax_number": "859-283-1096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24173 STATELINE RD",
            "address_2": "STE 200",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470257351",
            "telephone_number": "859-283-0068",
            "fax_number": "859-283-1096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNBERGER",
        "first_name": "SAMANTHA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003378B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000539394",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Brittany Hooten, APRN
• Billie J Hoskins, BSN RN
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• Daphne Maureen Houze, P.T.
• Douglas Scott Howard, M.D.
• Michelle Renee Howard, MSW

• Optometrist in Lawrenceburg, IN
• Providers in Lawrenceburg, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.