Healthcare Provider Details

I. General information

NPI: 1063342574
Provider Name (Legal Business Name): CAITLIN HORAN OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7051 SOUTHPOINT PKWY S STE 300
JACKSONVILLE FL
32216-8713
US

IV. Provider business mailing address

7051 SOUTHPOINT PKWY S STE 300
JACKSONVILLE FL
32216-8713
US

V. Phone/Fax

Practice location:
  • Phone: 904-872-6874
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPC6934
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: