Provider Demographics
NPI:1700013844
Name:SAMANTHA HORNBERGER
Entity Type:Organization
Organization Name:SAMANTHA HORNBERGER
Other - Org Name:HORNBERGER EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HORNBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:812-584-1357
Mailing Address - Street 1:7627 MALL RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-1403
Mailing Address - Country:US
Mailing Address - Phone:859-283-1081
Mailing Address - Fax:
Practice Address - Street 1:7627 MALL RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1403
Practice Address - Country:US
Practice Address - Phone:859-283-1081
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003378B152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty