Active NPI
Hornedo'S Enterprise, Inc.
- Optician
- Revere, MA
National Provider Identifier
1972007854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 6016
- Legal business name
- HORNEDO'S ENTERPRISE, INC.
- Doing business as
- PEARLE VISION
- Practice address
- 339 Squire Rd
Revere, MA 02151-4309 - Phone
- (781) 289-5900
- NPI assigned
- Mar 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eddie Hornedo Jr.
- Title
- President
- Phone
- (978) 390-0022
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 6016 | MA | Primary |
Addresses
Primary practice location
339 Squire Rd
Revere, MA 02151-4309
Mailing address
10 Meriline Ave Unit 2
Methuen, MA 01844-6311
Phone (978) 390-0022
Other names 1
- PEARLE VISION
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673395200000",
"number": "1972007854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MERILINE AVE UNIT 2",
"city": "METHUEN",
"state": "MA",
"postal_code": "018446311",
"telephone_number": "978-390-0022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 SQUIRE RD",
"city": "REVERE",
"state": "MA",
"postal_code": "021514309",
"telephone_number": "781-289-5900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HORNEDO'S ENTERPRISE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-23",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A",
"authorized_official_last_name": "HORNEDO",
"authorized_official_first_name": "EDDIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "978-390-0022",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "6016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PEARLE VISION",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Revere, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.