Active NPI
Norbert Hernandez Sr., O.D.
- Optometrist
- Adjuntas, PR
National Provider Identifier
1003028309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0477
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050422000266 | PR | Practitioner - Optometry | 2860430535 | Practice locations: Adjuntas, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0477 | PR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.