Reyna Hernandez OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

5249TG Issued in TX

Legal business name

REYNA HERNANDEZ OD PA

Practice address

3385 Naaman School Rd
Garland, TX 75040-8717

Phone

(972) 496-2020

Fax

(972) 414-0912

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Reyna Hernandez, O.D.

Title

Owner

Phone

(972) 496-2020

Specialties & licenses 1

Addresses

Other names 1

• THE VISION SOURCE-GARLAND Doing business as

Locations

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1801070602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 NAAMAN SCHOOL RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750408717",
            "telephone_number": "972-496-2020",
            "fax_number": "972-414-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 NAAMAN SCHOOL RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750408717",
            "telephone_number": "972-496-2020",
            "fax_number": "972-414-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNA HERNANDEZ OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "REYNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-496-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5249TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE VISION SOURCE-GARLAND",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Garland, TX
• Providers in Garland, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.