MEDICARE: DR. JEFFREY ALANSON HORWITZ M.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	207W00000X	Ophthalmology Physician	35.030036	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	50184	OTHER	OH	CIGNA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	D30036	OTHER	OH	HUMANA
4	0820105	OTHER	OH	UNITED HEALTHCARE
5	4256470	OTHER	OH	AETNA PIN
6	000000006864	OTHER	OH	ANTHEM BC & BS PIN
7	1147218	OTHER	OH	UMWA

General Provider Information

NPI Number	:	1285746289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY ALANSON HORWITZ M.D.

Provider Business Mailing Address
First Line	:	301 W 1ST ST
Second Line	:	SUITE 3A
City	:	DAYTON
State	:	OH
Zip	:	45402-3033
Country	:	US
Telephone Number	:	937-228-5015
Fax Number	:	937-228-5971

Provider Business Practice Location Address
First Line	:	301 W 1ST ST
Second Line	:	SUITE 3A
City	:	DAYTON
State	:	OH
Zip	:	45402-3033
Country	:	US
Telephone Number	:	937-228-5015
Fax Number	:	937-228-5971

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/09/2007

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Directions to “ DR. JEFFREY ALANSON HORWITZ M.D.” Practice Location

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