Active NPI
Jerome M Hernandez, O.D.
- Optometrist
- Miami, FL
National Provider Identifier
1508874942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP 2362
- Practice address
- 7400 N Kendall Dr
Suite 110
Miami, FL 33156-7706 - Phone
- (305) 670-6060
- Fax
- (305) 670-0678
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 | OP 2362 | FL | Primary |
Addresses
Primary practice location
7400 N Kendall Dr
Suite 110
Miami, FL 33156-7706
Mailing address
7400 N Kendall Dr
Suite 110
Miami, FL 33156-7706
Phone (305) 670-6060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 078969100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20101218000071 | FL | Practitioner - Optometry | 2264620145 |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7400 N Kendall Dr
Suite 110
Miami, FL 33156-7706
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP 2362 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1508874942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 N KENDALL DR",
"address_2": "SUITE 110",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567706",
"telephone_number": "305-670-6060",
"fax_number": "305-670-0678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 N KENDALL DR",
"address_2": "SUITE 110",
"city": "MIAMI",
"state": "FL",
"postal_code": "331567706",
"telephone_number": "305-670-6060",
"fax_number": "305-670-0678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "JEROME",
"middle_name": "M",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2010-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OP 2362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "078969100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.