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Individual

DR. SCOTT LEE HORA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
430 ARLINGTON RD, SUITE B, BROOKVILLE, OH 45309-1103
(937) 770-1265
(937) 770-1268
Mailing address
8300 NATIONAL RD, BROOKVILLE, OH 45309-8636
(937) 833-5944

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5395
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4119452
MEDICARE PTAN
OH
Enumeration date
08/02/2006
Last updated
04/13/2009
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