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DR. PAUL HORNER O.D.
NPI 1962557066
Optometrist in Brandon, SD

Active since January 25, 2007PECOS EnrolledAccepts Medicare Assignment
105 N SPLITROCK BLVD, BRANDON, SD 57005(605) 582-2990(605) 582-2991 Get Directions Write a Review

NPPES record last updated: December 22, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul Horner O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL HORNER O.D. (NPI 1962557066) is an individual optometrist in Brandon, South Dakota, licensed in South Dakota (535) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1993).

NPPES Registry Identity

NPI1962557066
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PAUL HORNERCredential: O.D.
Location Address105 N SPLITROCK BLVDBrandon, SD 57005-1529
Mailing Address613 N Oak Ridge RdBrandon, SD 57005-1573 · (605) 582-3737
Phone(605) 582-2990
Fax(605) 582-2991
Sole ProprietorYes
Medical School CMSPacific University - College Of OptometryGraduated 1993
Enumeration DateJanuary 25, 2007
Last NPPES UpdateDecember 22, 2011
✔ NPI 1962557066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in SD · 535
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
105 N SPLITROCK BLVD, Brandon, SD 57005
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Other Identifiers 15

Other9202869-535.1Dakota Care Sioux Falls
Other5C469HOMN · Bcbs Sioux Falls
Other2202147Medica Brandon
Other410031181Railroad Mcr
Medicare ID-Type UnspecifiedS6148SD · Brandon
Other5C470HOMN · Bcbs Brandon
Other242530Midlands Choice
Medicare UPINU46041
Other2202146Medica Sioux Falls
Medicare ID-Type UnspecifiedS4506SD · Sioux Falls
Medicaid9201702SD
Other4998511SD · Bcbs Brandon
Medicaid9201700SD
Other0004506SD · Bcbs Sioux Falls
Other20722Sioux Valley Hlth Pln

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul Horner O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991838682
PECOS Enrollment IDI20100802000543
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
154 services153 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
138 services137 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
68 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TKC OPTICAL, INC.
Eyewear Supplier
105 N SPLITROCK BLVD
BRANDON, SD 57005
Minnehaha County (605) 582-2990

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Horner's NPI number?

The NPI number for Paul Horner is 1962557066. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Paul Horner located?

Paul Horner practices at 105 N Splitrock Blvd, Brandon, SD 57005. The listed phone number is (605) 582-2990.

What is Paul Horner's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Paul Horner enrolled in Medicare?

Yes. Paul Horner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Horner accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list Paul Horner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Horner was last updated on December 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.