Jacqueline Rose Clair-Horn, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3092T Issued in OR

Practice address

880 Golf View Dr Ste 101
Medford, OR 97504-8496

Phone

(541) 779-3797

Fax

(541) 842-2194

NPI assigned

Aug 19, 2006

Sex

Female

Sole proprietor

No

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 OR

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

Pacific University - College of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Horn Optometric, LLCGroup PAC ID 8022917665, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Horn Optometric, LLC

  • Optometrist
  • Medford, OR
  • NPI 1407966203
  Medicare reassignment Care Compare group Authorized official
• Medical Eye Center Optical Inc

  • Eyewear Supplier
  • Grants Pass, OR
  • NPI 1629242938
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1619082062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 GOLF VIEW DR STE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048496",
            "telephone_number": "541-779-3797",
            "fax_number": "541-842-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 GOLF VIEW DR STE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048496",
            "telephone_number": "541-779-3797",
            "fax_number": "541-842-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAIR-HORN",
        "first_name": "JACQUELINE",
        "middle_name": "ROSE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3092T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269031",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damaris N Cisneros
• Alyssa Cissney
• Magdalena Ciurlik, MD
• Jeremy Claassen, DDS
• Jonathan Michael Claassen, MD
• Leslie Elizabeth Claridge Town
• Clarity Behavioral Medicine LLC
• Bryan Bret Clark
• Carolyn Clark, QMHA, PSS, CRM, CGAC
• Diane Clark, R.PH.

• Optometrist in Medford, OR
• Providers in Medford, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.