Jerome Hernandez, OD, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2362 Issued in FL

Legal business name

JEROME HERNANDEZ, OD, INC.

Doing business as

Kendall Optical Center

Practice address

7400 N Kendall Dr
Suite 110
Miami, FL 33156-7706

Phone

(305) 670-6060

Fax

(305) 670-0678

NPI assigned

Feb 16, 2011

Last updated

Sep 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jerome Hernandez, O.D.NPI 1508874942

Title

President

Phone

(305) 670-6060

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kendall Optical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Jerome M Hernandez, O.D.

  • Optometrist
  • Miami, FL
  • NPI 1508874942
  Authorized official Same address or phone

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1760789440",
    "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": {
        "organization_name": "JEROME HERNANDEZ, OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-670-6060",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078969100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kendall Optical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dianelys Jerez
• Julia Jerez
• Samir Gustavo Jerez, LMHC, QS
• Tatiana Jerez
• Sarah Crissey Jernigan, MD
• Jerome Siegmeister MD PA
• Suzie Jerome-Leacock, ARNP
• Malisha Melanie Jerome
• Martine Jerome, PMHNP
• Roberto Jeronimo Alvarez

• Optometrist in Miami, FL
• Providers in Miami, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.