Individual provider Active NPI

David Horn, OD

  • Optometrist
  • Bronx, NY
National Provider Identifier
1760482244
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT003459 Issued in NY
Practice address
120 Alcott PL
Front 1
Bronx, NY 10475-4201
Phone
(718) 379-8029
Fax
(718) 862-0393
NPI assigned
Jul 27, 2005
Last updated
May 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT003459 NY Primary

Addresses

Primary practice location

120 Alcott PL
Front 1
Bronx, NY 10475-4201

Mailing address

120 Alcott PL FRNT 1
Bronx, NY 10475-4201
Phone (718) 379-8029

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20120105000836 NY Practitioner - Optometry 0143493528 Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 -1 Alcott PL
Front 1
bronx, NY 10475-4201

120 Alcott PL
Bronx, NY 10475-4201
Phone (718) 379-8029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
VUT003459NYMDOptometrist

Interoperability endpoints

  • Direct secure messaging: david.horn@rhcnys.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1760482244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ALCOTT PL FRNT 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754201",
            "telephone_number": "718-379-8029",
            "fax_number": "718-862-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ALCOTT PL",
            "address_2": "FRONT 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104754201",
            "telephone_number": "718-379-8029",
            "fax_number": "718-862-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT003459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.