Individual provider Active NPI

Neil M Horner, O.D.

  • Optometrist
  • Oklahoma City, OK
National Provider Identifier
1821076829
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2813 Issued in OK
Practice address
4301 N Classen Blvd
Oklahoma City, OK 73118-5031
Phone
(918) 933-4075
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 05668TG TX
Optometrist 152W00000X 2813 OK Primary

Addresses

Primary practice location

4301 N Classen Blvd
Oklahoma City, OK 73118-5031

Mailing address

501 N Douglas Ave
Oklahoma City, OK 73106-5007
Phone (405) 286-9699

Other practice location 1

7050 Air Depot Blvd
Tinker AFB, OK 73145-8716
Phone (575) 904-3917

Other identifiers 2

IdentifierTypeStateIssuer
201158460AMedicaidOK
200339810CMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20230905002705 OK Practitioner - Optometry 6901135813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newview Oklahoma IncGroup PAC ID 9133314594, 4 clinicians

Practice addresses (Care Compare)

4301 N Classen Blvd
Oklahoma City, OK 73118-5031
Phone (405) 286-9699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05668TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Newview Oklahoma Inc. Optometrist Current Accepting new patients
Newview Oklahoma Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Newview Oklahoma Inc. Optometrist Past Accepting new patients
Newview Oklahoma Inc. Optometrist Past Accepting new patients

Locations

501 N Douglas Ave
Oklahoma City, OK 73106
Phone (405) 232-4644

4301 N Classen Blvd
Oklahoma City, OK 73118
Phone (405) 286-9699

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1821076829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N DOUGLAS AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731065007",
            "telephone_number": "405-286-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N CLASSEN BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731185031",
            "telephone_number": "918-933-4075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7050 Air Depot Blvd",
            "address_purpose": "LOCATION",
            "city": "Tinker AFB",
            "state": "OK",
            "postal_code": "731458716",
            "country_code": "US",
            "telephone_number": "575-904-3917",
            "fax_number": "575-784-6028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNER",
        "first_name": "NEIL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05668TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201158460A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200339810C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.