Individual
DR. PAUL HORNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
105 N SPLITROCK BLVD, BRANDON, SD 57005-1529
(605) 582-2990
(605) 582-2991
Mailing address
613 N OAK RIDGE RD, BRANDON, SD 57005-1573
(605) 582-3737
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
535
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004506
BCBS SIOUX FALLS
SD
01
—
20722
SIOUX VALLEY HLTH PLN
—
01
—
2202146
MEDICA SIOUX FALLS
—
01
—
2202147
MEDICA BRANDON
—
01
—
242530
MIDLANDS CHOICE
—
01
—
410031181
RAILROAD MCR
—
01
—
4998511
BCBS BRANDON
SD
01
—
5C469HO
BCBS SIOUX FALLS
MN
01
—
5C470HO
BCBS BRANDON
MN
05
—
9201700
—
SD
05
—
9201702
—
SD
01
—
9202869-535.1
DAKOTA CARE SIOUX FALLS
—
Enumeration date
01/25/2007
Last updated
12/22/2011
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