Provider Demographics
NPI:1518028067
Name:HORIZON EYECARE, P.A.
Entity Type:Organization
Organization Name:HORIZON EYECARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HUTCHINSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:913-422-3131
Mailing Address - Street 1:12801 KANSAS AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:BONNER SPRINGS
Mailing Address - State:KS
Mailing Address - Zip Code:66012-9202
Mailing Address - Country:US
Mailing Address - Phone:913-422-3131
Mailing Address - Fax:913-422-3703
Practice Address - Street 1:12801 KANSAS AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:BONNER SPRINGS
Practice Address - State:KS
Practice Address - Zip Code:66012-9202
Practice Address - Country:US
Practice Address - Phone:913-422-3131
Practice Address - Fax:913-422-3703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSN290000Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER