Organization
JEROME HERNANDEZ, OD, INC.
Active
Other names
Kendall Optical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME HERNANDEZ O.D. (PRESIDENT)
(305) 670-6060
Entity
Organization
Contact information
Practice address
7400 N KENDALL DR, SUITE 110, MIAMI, FL 33156-7706
(305) 670-6060
(305) 670-0678
Mailing address
7400 N KENDALL DR, SUITE 110, MIAMI, FL 33156-7706
(305) 670-6060
(305) 670-0678
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2362
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078969100
—
FL
Enumeration date
02/16/2011
Last updated
09/14/2012
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