Provider Demographics
NPI:1306357793
Name:HORIZON EYE CARE PA
Entity Type:Organization
Organization Name:HORIZON EYE CARE PA
Other - Org Name:HORIZON EYE CARE OPTICAL
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF REVENUE
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:SCALICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-399-6102
Mailing Address - Street 1:2401 BAY AVE
Mailing Address - Street 2:
Mailing Address - City:OCEAN CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08226-2456
Mailing Address - Country:US
Mailing Address - Phone:609-399-6102
Mailing Address - Fax:
Practice Address - Street 1:297 ROUTE 72 W
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2890
Practice Address - Country:US
Practice Address - Phone:609-597-0666
Practice Address - Fax:609-399-4424
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HORIZON EYE CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-10-12
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier