Individual provider Active NPI

Nathaniel Elliott Horlick, OD

  • Optometrist
  • Colchester, VT
National Provider Identifier
1801468756
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
030.0133946 Issued in VT
Practice address
218 Lower Mountain View Dr
Colchester, VT 05446-8110
Phone
(919) 508-7804
NPI assigned
Jul 12, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 030.0133946 VT Primary

Addresses

Primary practice location

218 Lower Mountain View Dr
Colchester, VT 05446-8110

Mailing address

35 Bramblewood Dr
Youngsville, NC 27596-9215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
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
I20211001000986 VT Practitioner - Optometry 6901204114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horlick Eye Care 2 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030.0133946VTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Vision Optometry P.C. Optometrist CurrentSince Jan 1, 2023 Accepting new patients
Horlick Eye Care Optometrist CurrentSince May 27, 2024 Accepting new patients
Mobileyes Optometry Inc Optometrist CurrentSince Sep 24, 2023 Accepting new patients
Visions, Inc Optometrist PastSince May 27, 2024 Accepting new patients

Locations

98 Starr Farm Rd
Burlington, VT 05408
Phone (802) 658-6717

218 Lower Mountain View Dr
Ste 2
Colchester, VT 05446
Phone (802) 654-7599

218 Lower Mountain View Dr
Colchester, VT 05446
Phone (802) 654-7599

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1801468756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BRAMBLEWOOD DR",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275969215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 LOWER MOUNTAIN VIEW DR",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054468110",
            "telephone_number": "919-508-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORLICK",
        "first_name": "NATHANIEL",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030.0133946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colchester, VT

Sources for this page

Verify at the official NPI Registry.