Joel Agado Hernandez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100411 Issued in ID

Practice address

1906 Fairview Ave Ste 100
Caldwell, ID 83605-5433

Phone

(208) 459-2020

Fax

(208) 459-2034

NPI assigned

Jun 15, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Eyecare Specialists PLLCGroup PAC ID 0749350650, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://familyeyes.ef.prod.fhir.ema-api.com/fhir/r4/

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.

• Family Eyecare Specialists PLLC

  dba William T Black

  • Optometrist
  • Caldwell, ID
  • NPI 1588840557
  Medicare reassignment Care Compare group NPD
• Family Eyecare Specialists PLLC

  • Optometrist
  • Middleton, ID
  • NPI 1437012770
  NPD (past)
• Insight Optical

  • Optometrist
  • Caldwell, ID
  • NPI 1588830665
  NPD (past)

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1952831695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E ELM ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054846",
            "telephone_number": "208-459-2020",
            "fax_number": "208-459-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 FAIRVIEW AVE STE 100",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836055433",
            "telephone_number": "208-459-2020",
            "fax_number": "208-459-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JOEL",
        "middle_name": "AGADO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "OD100411",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Colin Soran Henson
• Jennifer Herdt
• Heritage Community Charter School
• Harriet Hernandez, NP
• Ismael Hernandez, LSW, CADCI
• Jose Alfredo Hernandez, LMSW, QSUDP
• Herrin Chiropractic LLC (Treasure Valley Chiropractic Spine Management)
• David C Herrin, D.C.
• Whitney M Herter, LCPC
• Patrick Omura Hessler, DPT

• Optometrist in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.

Verify at the official NPI Registry.