Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 1926 | SC |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 1926 | SC |
N | 152WP0200X | Pediatric Optomitrist | 1926 | SC |
NPI | 1124041298 |
---|---|
Provider Name | Dr. Barbara Horn |
First Address | Myrtle Beach, SC 29577-5434 |
Second Address | Myrtle Beach, SC 29577-5434 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 03/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
900E018310 | (02) | MI |
SC79242614 | (05) | SC |