Horlick Eye Care
Organization Active NPI Optometrist · Williston, VT
NPI 1750139671 · NPPES record last updated Jun 12, 2024
Key facts
- NPI
- 1750139671
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- HORLICK EYE CARE
- Practice address
- 33 Blair Park Rd Ste 101
Williston, VT 05495-7587 - Phone
- (802) 862-1947
- NPI assigned
- May 7, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Nathaniel Horlick, OD
- Title
- Optometrist/President
- Phone
- (919) 508-7804
Practitioners 2
-
Nicholas Paul Marconi, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240810000039 | VT | Part B Supplier - Clinic/Group Practice | 7719425669 |
Receives reassigned benefits from 2 practitioners Practice locations: Williston, VT |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
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
- Maple Eye Care
Other providers in Williston, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.