Individual
DR. ALFONSO HERNANDEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3505 W KENOSHA ST, BROKEN ARROW, OK 74012-8948
(918) 286-2020
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2984
OK
Other
Enumeration date
07/30/2018
Last updated
12/18/2024
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