Organization Active NPI

Horlick Eye Care

Doing business as Maple Eye Care

  • Optometrist
  • Williston, VT
National Provider Identifier
1750139671
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HORLICK EYE CARE
Doing business as
Maple Eye Care
Practice address
33 Blair Park Rd Ste 101
Williston, VT 05495-7587
Phone
(802) 862-1947
NPI assigned
May 7, 2024
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Dr. Nathaniel Horlick, ODNPI 1801468756
Title
Optometrist/President
Phone
(919) 508-7804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

33 Blair Park Rd Ste 101
Williston, VT 05495-7587

Mailing address

33 Blair Park Rd Ste 101
Williston, VT 05495-7587
Phone (802) 862-1947

Other names 1

  • Maple Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240810000039 VT Part B Supplier - Clinic/Group Practice 7719425669 Receives reassigned benefits from 2 practitioners
Practice locations: Williston, VT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1750139671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 BLAIR PARK RD STE 101",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957587",
            "telephone_number": "802-862-1947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BLAIR PARK RD STE 101",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957587",
            "telephone_number": "802-862-1947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORLICK EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "HORLICK",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "919-508-7804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maple Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maple Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williston, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.