Provider Demographics
NPI:1104098920
Name:HORIZON EYE CARE LLC
Entity type:Organization
Organization Name:HORIZON EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:J. ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDEMARK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:419-425-4378
Mailing Address - Street 1:1318 NORTH MAIN STR.
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840
Mailing Address - Country:US
Mailing Address - Phone:419-425-4378
Mailing Address - Fax:419-425-4377
Practice Address - Street 1:1318 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-3703
Practice Address - Country:US
Practice Address - Phone:419-425-4378
Practice Address - Fax:419-425-4377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2925 T688152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0393932Medicare UPIN