MEDICARE: MARK HORVATH O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OH4565	OH
2	152W00000X	Optometrist	OPT.004565	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	31-1800795	OTHER	OH	UNITED HEALTHCARE
2	000000369815	OTHER	OH	ANTHEM
3	7487799	OTHER	OH	AETNA

General Provider Information

NPI Number	:	1366533036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK HORVATH O.D.

Provider Business Mailing Address
First Line	:	180 NORTHWOODS BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-4400
Country	:	US
Telephone Number	:	614-739-0660
Fax Number	:	614-739-0661

Provider Business Practice Location Address
First Line	:	180 NORTHWOODS BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-4400
Country	:	US
Telephone Number	:	614-739-0660
Fax Number	:	614-739-0661

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	04/03/2026

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43235-4400

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Practice Fax: 614-739-0661

Directions to “ MARK HORVATH O.D.” Practice Location

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