NPIMap

Organization Active NPI

Dr Hernandez Optometry Inc

  • Optometrist
  • Huntington Park, CA
National Provider Identifier
1164604658
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 7216 T Issued in CA
Legal business name
DR HERNANDEZ OPTOMETRY INC
Practice address
6134 Pacific Blvd
Huntington Park, CA 90255-2923
Phone
(323) 589-3381
Fax
(323) 583-6439
NPI assigned
Nov 27, 2007
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Mr. David HernandezNPI 1275195562
Title
Ceo
Phone
(323) 589-3381

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT 7216 T CA Primary

Addresses

Primary practice location

6134 Pacific Blvd
Huntington Park, CA 90255-2923

Mailing address

6134 Pacific Blvd
Huntington Park, CA 90255-2923
Phone (323) 589-3381

Other identifiers 1

IdentifierTypeStateIssuer
GSD005560MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260401001009 CA Part B Supplier - Clinic/Group Practice 0941785547 Receives reassigned benefits from 5 practitioners
Practice locations: Huntington Park, CA

National Provider Directory

National Provider Directory

Locations

6134 Pacific Blvd
Huntington Park, CA 90255
Phone (323) 589-3381

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1164604658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6134 PACIFIC BLVD",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552923",
            "telephone_number": "323-589-3381",
            "fax_number": "323-583-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6134 PACIFIC BLVD",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552923",
            "telephone_number": "323-589-3381",
            "fax_number": "323-583-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HERNANDEZ OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-589-3381",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 7216 T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD005560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.