Active NPI
Anthony R Horstman, O.D.
- Optometrist
- Bluffton, SC
National Provider Identifier
1700905619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1305
- Practice address
- 80 Baylor Dr
Suite 104
Bluffton, SC 29910-8900 - Phone
- (843) 706-3022
- Fax
- (843) 706-3027
- NPI assigned
- Mar 29, 2007
- Last updated
- May 29, 2009
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1305 | SC | Primary |
Addresses
Primary practice location
80 Baylor Dr
Suite 104
Bluffton, SC 29910-8900
Mailing address
20 Bear Island Rd
Hilton Head Island, SC 29926-1955
Phone (843) 341-6688
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D13055 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1305 | SC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243555200000",
"number": "1700905619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 BEAR ISLAND RD",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299261955",
"telephone_number": "843-341-6688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 BAYLOR DR",
"address_2": "SUITE 104",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299108900",
"telephone_number": "843-706-3022",
"fax_number": "843-706-3027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORSTMAN",
"first_name": "ANTHONY",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-29",
"last_updated": "2009-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D13055",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
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- Amanda Ann Houseman
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- Jacqueline Huberty
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.