Individual provider Active NPI

Reyna A Hernandez, O.D.

  • Optometrist
  • Garland, TX
National Provider Identifier
1063407005
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5249TG Issued in TX
Practice address
1138 Belt Line Rd
Ste 230
Garland, TX 75040-1993
Phone
(972) 495-3997
Fax
(972) 414-0912
NPI assigned
Sep 15, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5249TG TX Primary

Addresses

Primary practice location

1138 Belt Line Rd
Ste 230
Garland, TX 75040-1993

Mailing address

3385 Naaman School Rd
Garland, TX 75040-8717
Phone (972) 496-2020

Other names 1

  • Dr. Reyna A Hernandez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060206000705 TX Practitioner - Optometry 9931113396 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5249TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nto Denton, PLLC Optometrist CurrentSince Dec 13, 2023 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Apr 25, 2022 Accepting new patients

Locations

2430 S Interstate 35 E
Ste 156
Denton, TX 76205
Phone (940) 484-8857

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

3385 Naaman School Rd
Garland, TX 75040
Phone (972) 469-2020

1138 Belt Line Rd
Ste 230
Garland, TX 75040
Phone (972) 268-7938

10650 Culebra Rd
Ste 132
San Antonio, TX 78251
Phone (210) 523-2020

Interoperability endpoints

  • Direct secure messaging: reyna.hernandez.1@16194.direct.athenahealth.com

Organizations & group practices 2

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1063407005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 NAAMAN SCHOOL RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750408717",
            "telephone_number": "972-496-2020",
            "fax_number": "972-414-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 BELT LINE RD",
            "address_2": "STE 230",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750401993",
            "telephone_number": "972-495-3997",
            "fax_number": "972-414-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "REYNA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5249TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REYNA",
            "last_name": "HERNANDEZ",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.