DR. LISA MARIE HORNICK (O.D.) – Optometrist, NPI 1720068844

DR. LISA MARIE HORNICK (O.D.) is a healthcare provider. based in Rocklin, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OD00004121 (WA). The NPI Number for DR. LISA MARIE HORNICK (O.D.) is 1720068844

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA MARIE HORNICK (O.D.)
NPI
1720068844
Phone
(916) 624-9396
Address
2351 Sunset Blvd Ste 190
Enumeration Date
17 January 2006
Last Update Date
26 June 2019

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
0244548865
Group Practice PAC ID
4880818277
Professional Enrollment ID
I20151001001310
Address ID
CA957654306RO2351XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:20State licenses:3Digital endpointsOther names

3,909 OPTOMETRY in CA

Provider Addresses for DR. LISA MARIE HORNICK (O.D.)

  • 2351 Sunset Blvd Ste 190

    Rocklin, CA 957654306

    Phone: (916) 624-9396

    Type: Location

  • 2390 E Bidwell St

    #400

    Folsom, CA 956303872

    Phone: (916) 983-6211

    Type: Location

  • 2132, Ranch View Drive, Rocklin, Placer County, California, 95765, United States

    ROCKLIN, CA 957655357

    Phone: (858) 344-7600

    Type: Mailing

  • North Sunrise Avenue, Roseville, Placer County, California, 95661, United States

    ROSEVILLE, CA 956612951

    Phone: (916) 786-2122

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $16,890.

Total Amount is formed as General ($16,890) + Research ($0) + Ownership ($0) = $16,890.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Lumenis BE inc ($12,440).

Total Amount

$16,890

General + Research + Ownership

Payments

48

Total payment records

General Amount

$16,890

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151001001310IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95765)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880818277View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA

Reviews

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Frequently asked questions

What federal number belongs to DR. LISA MARIE HORNICK (O.D.)?
The federal identifier for DR. LISA MARIE HORNICK (O.D.) is NPI 1720068844.
Is DR. LISA MARIE HORNICK (O.D.)'s NPI currently valid?
The extract we use shows DR. LISA MARIE HORNICK (O.D.) as active.
Does DR. LISA MARIE HORNICK (O.D.) list a primary specialty?
If you are matching referrals, note Optometrist for DR. LISA MARIE HORNICK (O.D.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. LISA MARIE HORNICK (O.D.)?
The snapshot lists Rocklin, California for DR. LISA MARIE HORNICK (O.D.); download NPPES for the complete set.
How can I contact DR. LISA MARIE HORNICK (O.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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