Individual provider Active NPI

Scott Lee Hora, O.D.

  • Optometrist
  • Brookville, OH
National Provider Identifier
1942217641
Registry record updated Apr 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5395 Issued in OH
Practice address
430 Arlington Rd
Suite B
Brookville, OH 45309-1103
Phone
(937) 770-1265
Fax
(937) 770-1268
NPI assigned
Aug 2, 2006
Last updated
Apr 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5395 OH Primary

Addresses

Primary practice location

430 Arlington Rd
Suite B
Brookville, OH 45309-1103

Mailing address

8300 National Rd
Brookville, OH 45309-8636
Phone (937) 833-5944

Other identifiers 1

IdentifierTypeStateIssuer
4119452OtherOHMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2013 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5395OHMDOccupational Therapist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239580800000",
    "number": "1942217641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 NATIONAL RD",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453098636",
            "telephone_number": "937-833-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 ARLINGTON RD",
            "address_2": "SUITE B",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453091103",
            "telephone_number": "937-770-1265",
            "fax_number": "937-770-1268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORA",
        "first_name": "SCOTT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2009-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "4119452",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookville, OH

Sources for this page

Verify at the official NPI Registry.