Provider Demographics
NPI:1316901028
Name:LINDER, HORACE W (OD)
Entity type:Individual
Prefix:DR
First Name:HORACE
Middle Name:W
Last Name:LINDER
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:P.O. BOX 236
Mailing Address - Street 2:
Mailing Address - City:HENAGAR
Mailing Address - State:AL
Mailing Address - Zip Code:35978
Mailing Address - Country:US
Mailing Address - Phone:256-657-3453
Mailing Address - Fax:256-657-3294
Practice Address - Street 1:17154 AL HWY 75
Practice Address - Street 2:
Practice Address - City:HENAGAR
Practice Address - State:AL
Practice Address - Zip Code:35978
Practice Address - Country:US
Practice Address - Phone:256-657-3453
Practice Address - Fax:256-657-3294
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS323TA332152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0529150001OtherPALMETTO GBA
AL000810977Medicaid
AL000810977Medicaid
AL0529150001OtherPALMETTO GBA