Provider Demographics
NPI:1902842727
Name:HORNAK, CHRISTOPHER J (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:J
Last Name:HORNAK
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-3404
Mailing Address - Country:US
Mailing Address - Phone:724-863-3116
Mailing Address - Fax:724-863-2489
Practice Address - Street 1:511 MAIN ST
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-3404
Practice Address - Country:US
Practice Address - Phone:724-863-3116
Practice Address - Fax:724-863-2489
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001150152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA241733OtherCOVENTRY HEALTH AMERICA
PA4110696OtherCIGNA
PAH0474800OtherUMWA
PA474800OtherHIGHMARK
PA50539002OtherDAVIS VISION
PA0000474800OtherAMERIHEALTH ADMINISTRATOR
PA0011759320003Medicaid
PA2373180OtherAETNA
PA0011759320008Medicaid
PA202702OtherUPMC HEALTH PLAN
PA241733OtherCOVENTRY HEALTH AMERICA
PA0011759320008Medicaid