Provider Demographics
NPI:1588159313
Name:HOR, PAULINA (OD)
Entity type:Individual
Prefix:
First Name:PAULINA
Middle Name:
Last Name:HOR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2004 CREEKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:TX
Mailing Address - Zip Code:75428-3947
Mailing Address - Country:US
Mailing Address - Phone:919-632-6483
Mailing Address - Fax:
Practice Address - Street 1:10500 ULMERTON RD STE 278
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-3537
Practice Address - Country:US
Practice Address - Phone:727-444-0901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5509152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist