Davea Adams Horton, O.D.
Individual provider Active NPI Optometrist · Owensboro, KY
NPI 1699734285 · NPPES record last updated Jul 27, 2012
Key facts
- NPI
- 1699734285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1645DT (KY)
- Practice address
- 3310 Professional Park
Suite 101
Owensboro, KY 42303-4551 - Phone
- (270) 683-2101
- Fax
- (270) 683-2507
- NPI assigned
- Mar 22, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aeg Kentucky Professional, PLLC
Practice addresses (Care Compare)
3310 Professional Park
Owensboro, KY 42303-2497
Phone (270) 683-2101
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050816000114 | KY | Practitioner - Optometry | 1052341518 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1645DT | KY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Kentucky Professional, PLLC | Optometrist | Current |
Accepting new patients |
| Owensboro Family Eye Care Center PSC | Optometrist | Current |
Accepting new patients |
Locations
300 9th St
Henderson, KY 42420
Phone (270) 827-8681
135 Salem Dr
Owensboro, KY 42303
Phone (270) 683-2101
3310 Professional Park
Owensboro, KY 42303
Phone (270) 683-2101
3310 Professional Park
Ste 101
Owensboro, KY 42303
Phone (270) 683-2101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1645DT | KY | Yes |
Addresses
Primary practice location
3310 Professional Park
Suite 101
Owensboro, KY 42303-4551
Mailing address
3310 Professional Park
Suite 101
Owensboro, KY 42303-4551
Phone (270) 683-2101
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77001337 | Medicaid | KY |
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.