Individual provider Active NPI

Jerome M Hernandez, O.D.

  • Optometrist
  • Miami, FL
National Provider Identifier
1508874942
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP 2362 Issued in FL
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

Updated by the provider on Oct 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
078969100MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
OP 2362FLMDOptometrist

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

Verify at the official NPI Registry.