Individual provider Active NPI

Christian Armando Hernandez, O.D.

  • Optometrist
  • Pembroke Pines, FL
National Provider Identifier
1659705465
Registry record updated Feb 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4798 Issued in FL
Practice address
1732 University Drive
Pembroke Pines, FL 33024
Phone
(954) 432-7711
Fax
(954) 432-8017
NPI assigned
Aug 28, 2013
Last updated
Feb 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4798 FL Primary

Addresses

Primary practice location

1732 University Drive
Pembroke Pines, FL 33024

Mailing address

1732 N University Dr
Pembroke Pines, FL 33024-3602
Phone (954) 432-7711

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
I20131119002014 FL Practitioner - Optometry 0749416832 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4798FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert a. Davis OD PA Optometrist CurrentSince Aug 1, 2015 Accepting new patients
Nova Southeastern University, Inc Optometrist Current Accepting new patients
Nova Southeastern University, Inc. Optometrist CurrentSince Oct 14, 2013 Accepting new patients
Nova Southeastern University Inc. CurrentSince Oct 14, 2013 Accepting new patients
Eye Physicians of Florida LLP CurrentSince Aug 1, 2015 Accepting new patients

Locations

650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213

1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000

1732 N University Dr
Pembroke Pines, FL 33024
Phone (954) 432-7711

819 NE 26th St
Wilton Manors, FL 33305
Phone (954) 390-7654

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550188800000",
    "number": "1659705465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243602",
            "telephone_number": "954-432-7711",
            "fax_number": "954-432-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 UNIVERSITY DRIVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33024",
            "telephone_number": "954-432-7711",
            "fax_number": "954-432-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CHRISTIAN",
        "middle_name": "ARMANDO",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-28",
        "last_updated": "2019-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.