Individual provider Active NPI

Norbert Hernandez Sr., O.D.

  • Optometrist
  • Adjuntas, PR
National Provider Identifier
1003028309
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0477 Issued in PR
Practice address
35 Calle San Joaquin Ste 1
Adjuntas, PR 00601-2135
Phone
(787) 829-9933
Fax
(787) 829-9933
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0477 PR Primary

Addresses

Primary practice location

35 Calle San Joaquin Ste 1
Adjuntas, PR 00601-2135

Mailing address

HC 1 Box 2565
Adjuntas, PR 00601-9549
Phone (787) 829-9933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050422000266 PR Practitioner - Optometry 2860430535 Practice locations: Adjuntas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0477PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optovision Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1003028309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 2565",
            "city": "ADJUNTAS",
            "state": "PR",
            "postal_code": "006019549",
            "telephone_number": "787-829-9933",
            "fax_number": "787-829-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CALLE SAN JOAQUIN STE 1",
            "city": "ADJUNTAS",
            "state": "PR",
            "postal_code": "006012135",
            "telephone_number": "787-829-9933",
            "fax_number": "787-829-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "NORBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "0477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adjuntas, PR

Sources for this page

Verify at the official NPI Registry.