Individual provider Active NPI

Alexandra L Horne, OD FAAO

  • Optometrist
  • Summersville, WV
National Provider Identifier
1972027894
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2086-IOD Issued in WV
Practice address
651 Water St
Summersville, WV 26651-1454
Phone
(304) 872-5678
NPI assigned
Aug 2, 2017
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2086-IOD WV Primary

Addresses

Primary practice location

651 Water St
Summersville, WV 26651-1454

Mailing address

10003 Webster Rd
Camden on Gauley, WV 26208-7713
Phone (304) 226-5725

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ExamWriter Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20210930001810 WV Practitioner - Optometry 2466714910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

651 Water St
Summersville, WV 26651-1454
Phone (304) 226-5725

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2086-IODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center, Inc Current Accepting new patients
Appalachian Eye Care Inc Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center, Inc Current Accepting new patients
Camden on Gauley Medical Center, Inc. Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc. Current Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Camden on Gauley Medical Center Inc CurrentSince Mar 4, 2024 Accepting new patients
Camden on Gauley Medical Center Inc Optometrist CurrentSince Mar 4, 2024 Accepting new patients
Camden on Gauley Medical Center Inc Current Accepting new patients
Vistar Eye Center, Inc Optometrist PastSince Jul 1, 2021 Accepting new patients

Locations

10003 Webster Rd
Camden on Gly, WV 26208
Phone (304) 266-5725

415 Main St
Summersville, WV 26651
Phone (304) 872-1663

651 Water St
Summersville, WV 26651
Phone (304) 872-5678

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1972027894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10003 WEBSTER RD",
            "city": "CAMDEN ON GAULEY",
            "state": "WV",
            "postal_code": "262087713",
            "telephone_number": "304-226-5725",
            "fax_number": "304-226-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 WATER ST",
            "city": "SUMMERSVILLE",
            "state": "WV",
            "postal_code": "266511454",
            "telephone_number": "304-872-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNE",
        "first_name": "ALEXANDRA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD FAAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "2086-IOD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ExamWriter",
            "affiliation": "N",
            "endpointDescription": "Software",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "ExamWriter",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ExamWriter",
            "address_1": "324 Oakvale Rd Ste 100",
            "city": "Princeton",
            "state": "WV",
            "country_code": "US",
            "postal_code": "247403829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Summersville, WV

Sources for this page

Verify at the official NPI Registry.