Provider Demographics
NPI:1629570460
Name:HORIZON FAMILY EYE CARE, PLLC
Entity Type:Organization
Organization Name:HORIZON FAMILY EYE CARE, PLLC
Other - Org Name:HORIZON FAMILY EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:ZARELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OD
Authorized Official - Phone:434-296-2020
Mailing Address - Street 1:1430 ROLKIN CT STE 103
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-3582
Mailing Address - Country:US
Mailing Address - Phone:434-296-2020
Mailing Address - Fax:434-970-2020
Practice Address - Street 1:1430 ROLKIN CT STE 103
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-3582
Practice Address - Country:US
Practice Address - Phone:434-296-2020
Practice Address - Fax:434-970-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-07
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618002445152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty