MEDICARE: HORIZON EYE CARE PA

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	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1487165874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORIZON EYE CARE PA

Provider Business Mailing Address
First Line	:	2401 BAY AVE
Second Line	:
City	:	OCEAN CITY
State	:	NJ
Zip	:	08226-2456
Country	:	US
Telephone Number	:	609-399-6102
Fax Number	:	609-399-4424

Provider Business Practice Location Address
First Line	:	3003 ENGLISH CREEK AVE
Second Line	:
City	:	EGG HARBOR TWP
State	:	NJ
Zip	:	08234-4863
Country	:	US
Telephone Number	:	609-569-9949
Fax Number	:	609-399-4424

Authorized Official
Title or Position	:	DIRCETOR OF REVENUE
Name	:	RAYMOND SCALICE
Credential	:
Telephone Number	:	609-399-6102

Provider Enumeration Date	:	10/12/2017
Last Update Date	:	10/12/2017

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