Organization Active NPI

A1A Family Eyecare

  • Optometrist
  • St Augustine, FL
National Provider Identifier
1770622276
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1749 Issued in FL
Legal business name
A1A FAMILY EYECARE
Practice address
1835 US 1 South, Unit 121
St. Augustine, FL 32084
Phone
(904) 824-0212
Fax
(904) 824-0132
NPI assigned
Feb 5, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. James Anthony Horning, O.D.
Title
Owner
Phone
(604) 824-0212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC1749 FL Primary

Addresses

Primary practice location

1835 US 1 South, Unit 121
St. Augustine, FL 32084

Mailing address

1835 US 1 South, Unit 121
St. Augustine, FL 32084
Phone (904) 824-0212

Other practice location 1

1100 S Ponce De Leon Blvd Ste 4
St Augustine, FL 32084-6013
Phone (904) 824-0212

Other practice location 2

4788 Hodges Blvd Ste 205
Jacksonville, FL 32224-7223
Phone (904) 992-9991

Other identifiers 1

IdentifierTypeStateIssuer
078411701MedicaidFL

National Provider Directory

National Provider Directory

Locations

3980 3rd St S
Jax Bch, FL 32250
Phone (904) 246-1952

1835 US Highway 1 S
Ste 121
Saint Augustine, FL 32084
Phone (904) 824-0212

Practitioners & affiliated clinicians

Practitioners 8

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1770622276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 US 1 SOUTH, UNIT 121",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32084",
            "telephone_number": "904-824-0212",
            "fax_number": "904-824-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 US 1 SOUTH, UNIT 121",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32084",
            "telephone_number": "904-824-0212",
            "fax_number": "904-824-0132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S Ponce De Leon Blvd Ste 4",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320846013",
            "country_code": "US",
            "telephone_number": "904-824-0212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4788 Hodges Blvd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322247223",
            "country_code": "US",
            "telephone_number": "904-992-9991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A1A FAMILY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HORNING",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "604-824-0212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078411701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.