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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES JOSEPH HORNBERGER JR., OD

Deactivated

DR. CHARLES JOSEPH HORNBERGER JR., OD is a Optometrist healthcare provider located in DEPEW, New York. NPI 1376548735 is deactivated in the NPPES registry. Verify at CMS.

Optometrist · DEPEW, NY

This NPI has been deactivated. The record was deactivated on July 19, 2005. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1376548735
Provider Type
Individual
Gender
Male
NPI Issued
Jun 14, 2005 (0.095890410958904 yrs)
Last Updated
Oct 13, 2011
Deactivated
Jul 19, 2005
License
TUV005695 (NY)

Practice Information

Address
3192 WALDEN AVE
DEPEW, NY, 140432878
Browse NY providers · Browse ZIP 14043
Phone
7166843124
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in DEPEW, NY

Name Credential NPI
DR. BRIAN DAVID ROTHSCHILD O.D. 1689767931
DR. RICHARD J. SCHWARTZ O.D. 1467595884
MICHELLE ANN GAMBACORTA OD 1982213906
KAYLA M WHELAN OD 1952915589
ALEX ZHOU OD 1427779594
ALEXANDRIA MCKEEN 1205635778
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.