Eddie Hornedo Jr., LDO
Technician/Technologist, Optician in Revere, Massachusetts
1407347800- Practice location
- 339 Squire RD, Revere, MA 02151-4309
- Phone
- 781-289-5900
- Fax
- —
- Last updated
- January 11, 2023
Eddie Hornedo is a Technician/Technologist, Optician based in Revere, MA. Eddie Hornedo practices in Revere, MA and has the professional credentials of LDO. The NPI Number for Eddie Hornedo is 1407347800 and holds a License No. 6016 (MA). The current practice location address for Eddie Hornedo is 339 Squire RD, Revere, MA 02151-4309 and can be reached out via phone at 781-289-5900.
Provider Profile Details
- NPI Number
- 1407347800
- Provider Name
- Eddie Hornedo
- Credential
- LDO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 339 Squire RD, Revere, MA 02151-4309
- Phone Number
- 781-289-5900
- Primary Taxonomy
- Technician/Technologist, Optician · 156FX1800X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 22, 2018
- Last Update Date
- January 11, 2023
- Certification Date
- January 11, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 339 Squire RD
Revere, MA 02151-4309 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-4309
- Phone Number
- 781-289-5900
Provider Business Mailing Address Details
- Address
- 38 Murray St
Peabody, MA 01960-2327 - City
- Peabody
- State
- MA
- Zip
- 01960-2327
- Phone Number
- 978-390-0022
License Information
- License Number
- 6016
- License State
- MA
- Taxonomy
- Technician/Technologist, Optician · 156FX1800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Technician/Technologist, Opticians near Revere, MA
View all Technician/Technologist, Opticians in Revere →Frequently Asked Questions
What is the NPI number of Eddie Hornedo Jr., LDO?
The NPI number of Eddie Hornedo Jr., LDO is 1407347800. It was assigned on May 22, 2018 and is currently active in the NPPES registry.
What is the specialty of Eddie Hornedo Jr., LDO?
Eddie Hornedo Jr., LDO is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in MA under license number 6016.
Where does Eddie Hornedo Jr., LDO practice?
The practice location is 339 Squire RD, Revere, MA 02151-4309. The office can be reached at 781-289-5900 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407347800 directly on the NPPES registry website.