Organization Active NPI

Kadira Hernandez, O.D., PLLC

  • Optometrist
  • Miami, FL
National Provider Identifier
1982453361
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KADIRA HERNANDEZ, O.D., PLLC
Practice address
8485 SW 40TH St Ste 103
Miami, FL 33155-3262
Phone
(305) 223-6142
Fax
(305) 552-0824
NPI assigned
May 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Kadira Hernandez, O.D.
Title
Owner
Phone
(786) 362-3421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

8485 SW 40TH St Ste 103
Miami, FL 33155-3262

Mailing address

18365 SW 136TH CT
Miami, FL 33177-7153
Phone (786) 362-3421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260326003706 FL Part B Supplier - Clinic/Group Practice 5890270946 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Locations

8485 SW 40th St
Ste 103
Miami, FL 33155
Phone (305) 223-6142

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1982453361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18365 SW 136TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331777153",
            "telephone_number": "786-362-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8485 SW 40TH ST STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553262",
            "telephone_number": "305-223-6142",
            "fax_number": "305-552-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KADIRA HERNANDEZ, O.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "KADIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-362-3421",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.