National Provider Identifier
Charles Joseph Hornberger Jr., OD
Charles Joseph Hornberger Jr., OD is listed in the NPPES registry with a primary specialty of Optometrist in Depew, NY and a listed phone number of (716) 684-3124.
Profile Overview
- NPI
- 1376548735
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- June 14, 2005
- Last Updated
- October 13, 2011
Practice Location
- 3192 Walden Ave
- Depew, NY 14043-2878
Phone: (716) 684-3124
Mailing Address
- 3192 Walden Ave
- Depew, NY 14043-2846
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1376548735
- Entity Type
- Individual
- Last Name
- Hornberger
- First Name
- Charles
- Middle Name
- Joseph
- Name Prefix
- Dr.
- Name Suffix
- Jr.
- Credential
- OD
- Mailing Street Address
- 3192 Walden Ave
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-2846
- Mailing Country
- US
- Mailing Phone
- (716) 684-3124
- Practice Street Address
- 3192 Walden Ave
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-2878
- Practice Country
- US
- Practice Phone
- (716) 684-3124
- Enumeration Date
- June 14, 2005
- Last Updated
- October 13, 2011
- Deactivation Date
- July 19, 2005
- Reactivation Date
- December 14, 2006
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)