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NPI Code Detail

MEDICARE: DR. JOHN PATRICK HORNER O.D.

MEDICARE:  DR. JOHN PATRICK HORNER  O.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
1152W00000XOptometrist2089MN

General Provider Information

NPI Number : 1750593067
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN PATRICK HORNER O.D.
Provider Business Mailing Address
First Line : 8360 CITY CENTRE DR
Second Line :
City : WOODBURY
State : MN
Zip : 55125-3381
Country : US
Telephone Number : 651-714-2015
Fax Number : 651-714-2010
Provider Business Practice Location Address
First Line : 8360 CITY CENTRE DR
Second Line :
City : WOODBURY
State : MN
Zip : 55125-3381
Country : US
Telephone Number : 651-714-2015
Fax Number : 651-714-2010
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2007
Last Update Date : 07/08/2007

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Directions to “ DR. JOHN PATRICK HORNER O.D.” Practice Location

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