Individual provider Active NPI

Sylvester William Hora, O.D.

  • Optometrist
  • Collierville, TN
National Provider Identifier
1841249703
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODT000810 Issued in TN
Practice address
155 N Main St
Ste 101B
Collierville, TN 38017-2650
Phone
(901) 853-1420
Fax
(901) 853-1421
NPI assigned
May 9, 2006
Last updated
Jan 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 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 ODT000810 TN Primary

Addresses

Primary practice location

155 N Main St
Ste 101B
Collierville, TN 38017-2650

Mailing address

2295 Highway 196 S
Piperton, TN 38017-5733
Phone (901) 486-5211

Other identifiers 1

IdentifierTypeStateIssuer
3594782MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20091116000369 TN Practitioner - Optometry 5496893257 Practice locations: Collierville, TN

Care Compare profile

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

Practice addresses (Care Compare)

155 N Main St
Suite 101B
Collierville, TN 38017-2650
Phone (901) 853-1420

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
810TNMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1841249703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 HIGHWAY 196 S",
            "city": "PIPERTON",
            "state": "TN",
            "postal_code": "380175733",
            "telephone_number": "901-486-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N MAIN ST",
            "address_2": "STE 101B",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172650",
            "telephone_number": "901-853-1420",
            "fax_number": "901-853-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORA",
        "first_name": "SYLVESTER",
        "middle_name": "WILLIAM",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT000810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3594782",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collierville, TN

Sources for this page

Verify at the official NPI Registry.