Healthcare Provider Details

I. General information

NPI: 1689751752
Provider Name (Legal Business Name): HORIZON EYE CARE PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9701 VENTNOR AVE
MARGATE CITY NJ
08402-2222
US

IV. Provider business mailing address

9701 VENTNOR AVE
MARGATE CITY NJ
08402-2222
US

V. Phone/Fax

Practice location:
  • Phone: 609-399-6102
  • Fax: 609-399-4424
Mailing address:
  • Phone: 609-399-6102
  • Fax: 609-399-4424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. HOWARD J GROSS
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 609-399-6102