Paul Horner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

535 Issued in SD

Practice address

105 N Splitrock Blvd
Brandon, SD 57005-1529

Phone

(605) 582-2990

Fax

(605) 582-2991

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 12

Medicare fee-for-service enrollment

Enrolled in SD

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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jones Family Eyecare LLCGroup PAC ID 2961652706, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jones Family Eyecare LLC

  • Optometrist
  • Brandon, SD
  • NPI 1144585670
  Medicare reassignment Care Compare group NPD
• TKC Optical, Inc.

  • Eyewear Supplier
  • Brandon, SD
  • NPI 1396890471
  NPD (past)
• Hawkeye Exact, LLC

  • Optometrist
  • Sioux City, IA
  • NPI 1447896782
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1962557066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 N OAK RIDGE RD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051573",
            "telephone_number": "605-582-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N SPLITROCK BLVD",
            "city": "BRANDON",
            "state": "SD",
            "postal_code": "570051529",
            "telephone_number": "605-582-2990",
            "fax_number": "605-582-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNER",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BRANDON",
            "identifier": "4998511",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BRANDON",
            "identifier": "5C470HO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9201702",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "410031181",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "242530",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SIOUX FALLS",
            "identifier": "5C469HO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTA CARE SIOUX FALLS",
            "identifier": "9202869-535.1",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY HLTH PLN",
            "identifier": "20722",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA BRANDON",
            "identifier": "2202147",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9201700",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SIOUX FALLS",
            "identifier": "0004506",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA SIOUX FALLS",
            "identifier": "2202146",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Lynn Hedman
• Helping Hand Assisted Living, Inc.
• Julie Joy Holiday, MS, CCC-SLP
• Homelife Solutions, Inc
• Gwen S Homer, PT
• Jayden M Hortness, PT, DPT
• Michael Cody Huisman, D.C.
• Terri Jensen, MA CCC-SLP
• Lisa Linn Johnson, SLP
• Jones Family Eyecare LLC

• Optometrist in Brandon, SD
• Providers in Brandon, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.