Individual provider Active NPI

Reynaldo Jesus Hernandez Lima, LO

  • Optician
  • Miami Gardens, FL
National Provider Identifier
1144115023
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO7711 Issued in FL
Practice address
17560 NW 27TH Ave Ste 119
Miami Gardens, FL 33056-4075
Phone
(786) 560-3766
NPI assigned
Jun 11, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DO7711 FL Primary

Addresses

Primary practice location

17560 NW 27TH Ave Ste 119
Miami Gardens, FL 33056-4075

Mailing address

2531 NW 153Rd St
Miami Gardens, FL 33054-2739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DO7711FLMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1144115023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 NW 153RD ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330542739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17560 NW 27TH AVE STE 119",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330564075",
            "telephone_number": "786-560-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ LIMA",
        "first_name": "REYNALDO",
        "middle_name": "JESUS",
        "credential": "LO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-11",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO7711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.