Lisa Marie Hornick, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11886T Issued in CA

Practice address

114 N Sunrise Ave Ste C2
Roseville, CA 95661-2951

Phone

(916) 786-2122

NPI assigned

Jan 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Lisa Marie Hammond Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Southern California College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

K and a Optometry IncGroup PAC ID 4880818277, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• K and a Optometry Inc

  • Optometrist
  • Rocklin, CA
  • NPI 1952726432
  Medicare reassignment Care Compare group NPD
• Aaron E Lech Optometry a

  • Optometrist
  • Roseville, CA
  • NPI 1396046850
  Medicare reassignment NPD
• Robert A Hoffman, OD

  • Optometrist
  • Folsom, CA
  • NPI 1174571731
  Medicare reassignment
• Steven Hoffman OD Inc

  • Optometrist
  • Folsom, CA
  • NPI 1538979091
  NPD
• Michael J. Proiette O.D., Inc.

  • Optometrist
  • Lincoln, CA
  • NPI 1407002942
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1720068844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 RANCH VIEW DR",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957655357",
            "telephone_number": "858-344-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N SUNRISE AVE STE C2",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612951",
            "telephone_number": "916-786-2122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2390 E Bidwell St",
            "address_2": "#400",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956303872",
            "country_code": "US",
            "telephone_number": "916-983-6211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2351 Sunset Blvd Ste 190",
            "address_purpose": "LOCATION",
            "city": "Rocklin",
            "state": "CA",
            "postal_code": "957654306",
            "country_code": "US",
            "telephone_number": "916-624-9396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNICK",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00004121",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3197ATI",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11886T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "HAMMOND",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tasfia Hoque, D.O.
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• Polina Horiainova
• Horizon Treatment Center LLC
• Lamont Wallace Hornbeck, M.D.
• Gladys Hortalopez
• Susannah Hosbein, LMFT
• Serene Hoskins
• Hospital Neurology Services Inc
• Naveen Hothi

• Optometrist in Roseville, CA
• Providers in Roseville, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.