Provider Demographics
NPI:1154381606
Name:HORIZON EYE CARE GROUP, P.C.
Entity type:Organization
Organization Name:HORIZON EYE CARE GROUP, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:PROCOPE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-243-2300
Mailing Address - Street 1:220 WILSON ST
Mailing Address - Street 2:STE 207
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-3697
Mailing Address - Country:US
Mailing Address - Phone:717-243-2300
Mailing Address - Fax:717-258-0928
Practice Address - Street 1:220 WILSON ST
Practice Address - Street 2:SUITE 207
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-3697
Practice Address - Country:US
Practice Address - Phone:717-243-2300
Practice Address - Fax:717-258-0928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-27
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001714152W00000X
PAMD055564L174400000X
207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0775136OtherKEYSTONE GROUP NUMBER
PA02362600OtherCAPITAL BLUE CROSS GROUP
2241668OtherAETNA GROUP NUMBER
85763OtherHEALTH AMERICA GROUP #
HO073029Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
PA4983700001Medicare NSC