Provider Demographics
NPI:1972007854
Name:HORNEDO'S ENTERPRISE, INC.
Entity Type:Organization
Organization Name:HORNEDO'S ENTERPRISE, INC.
Other - Org Name:PEARLE VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDDIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HORNEDO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:978-390-0022
Mailing Address - Street 1:10 MERILINE AVE UNIT 2
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-6311
Mailing Address - Country:US
Mailing Address - Phone:978-390-0022
Mailing Address - Fax:
Practice Address - Street 1:339 SQUIRE RD
Practice Address - Street 2:
Practice Address - City:REVERE
Practice Address - State:MA
Practice Address - Zip Code:02151-4309
Practice Address - Country:US
Practice Address - Phone:781-289-5900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-23
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6016156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty