Individual
DR. FREDERICK MATHEW HORNACK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
204 SOUTH MAIN STREET, STANLEY, NC 28164
(704) 263-2020
(704) 263-2011
Mailing address
319 WILLOW ST, STANLEY, NC 28164-1657
(704) 263-5942
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NC 1119
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8909421
—
NC
Enumeration date
12/13/2006
Last updated
07/08/2007
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