Organization
HORNER FAMILY EYECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PATRICK HORNER OD (OWNER)
(651) 714-2015
Entity
Organization
Contact information
Practice address
8360 CITY CENTRE DRIVE, #140, WOODBURY, MN 55125
(651) 714-2015
(651) 714-2010
Mailing address
8360 CITY CENTRE DRIVE, #140, WOODBURY, MN 55125
(651) 714-2015
(651) 714-2010
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2089
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108L6H0
BLUE CROSS BLUE SHIELD
MN
05
—
799323400
—
MN
01
—
93537
HEALTH PARTNERS
MN
Enumeration date
01/22/2007
Last updated
04/04/2013
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