# JEROME HERNANDEZ, OD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kendall Optical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760789440
- **Authorized official:** JEROME HERNANDEZ O.D. (PRESIDENT)
- **Authorized official phone:** (305) 670-6060

## Contact information

- **Practice address:** 7400 N KENDALL DR, SUITE 110, MIAMI, FL 33156-7706
- **Practice address phone:** (305) 670-6060
- **Practice address fax:** (305) 670-0678
- **Mailing address:** 7400 N KENDALL DR, SUITE 110, MIAMI, FL 33156-7706
- **Mailing address phone:** (305) 670-6060
- **Mailing address fax:** (305) 670-0678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC2362 | FL | Yes |

## Other

- **Enumeration date:** 02/16/2011
- **Last updated:** 09/14/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 078969100 | — | FL |