MEDICARE: HORVATH VISION CARE - NORTHWOODS INC

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

General Provider Information

NPI Number	:	1205501236
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HORVATH VISION CARE - NORTHWOODS INC

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	:	BILLING COORDINATOR
Name	:	AMY SHANKS
Credential	:
Telephone Number	:	614-739-0660

Provider Enumeration Date	:	08/11/2021
Last Update Date	:	04/03/2026

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