DR. ALFONSO HERNANDEZ JR. (NPI# 1205314572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205314572 |
| Entity Type | Individual |
| Full Name | DR. ALFONSO HERNANDEZ JR. |
| Credential | OD |
| Practice Address |
3505 W Kenosha St Broken Arrow OK 74012-8948 |
| Mailing Address |
1502 W Lansing St Broken Arrow OK 74012-1548 |
| Practice Telephone | 9182862020 |
| Mailing Telephone | 5806030301 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2984 | OK | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720502917 | Alfonso Jr Hernandez | Physician Assistant | 466 Horrocks Dr, Blackfoot, ID 83221-3452 | 2017-07-28 |
| 1942283148 | Alfonso Hernandez | Marriage & Family Therapist | 1717 Las Vegas St, Modesto, CA 95358-5500 | 2005-11-22 |
| 1093285769 | Alfonso Hernandez | Behavior Technician | 4152 W Swift Ave Ste 104, Fresno, CA 93722-6388 | 2018-11-26 |
| 1164818092 | Alfonso Claudio Hernandez | Student in an Organized Health Care Education/Training Program | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2015-04-07 |
| Street Address |
3505 W KENOSHA ST |
| City | BROKEN ARROW |
| State | OK |
| Zip Code | 74012-8948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225183601 | Harry R King | Optometrist | 3505 W Kenosha St, Broken Arrow, OK 74012-8948 | 2007-01-24 |
| 1982143095 | One Vision Pllc | Optometrist | 3505 W Kenosha St, Broken Arrow, OK 74012-8948 | 2017-02-22 |
| 1649667775 | Dr King Optometrist Pllc | Optometrist | 3505 W Kenosha St, Broken Arrow, OK 74012-8948 | 2015-04-15 |
| 1093157281 | James Thirion | Optometrist | 3505 W Kenosha St, Broken Arrow, OK 74012-8948 | 2013-07-29 |
| 1760660989 | Judy S. Kastl | Optometrist | 3505 W Kenosha St, Broken Arrow, OK 74012-8948 | 2008-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154949139 | Bonnie Jordan James | Pharmacist | 915 E Kenosha St, Broken Arrow, OK 74012 | 2020-07-07 |
| 1548814874 | Flawless Smile Dentistry of Ba Pllc | Dentist | 2319 N. 9th Street, Broken Arrow, OK 74012 | 2019-07-25 |
| 1780236653 | Carefirst Pharmacy Inc. | Pharmacy | 2530 N. Elm Pl., Broken Arrow, OK 74012 | 2019-07-11 |
| 1043871213 | Stacy Lynn Mitchell | Counselor | 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 | 2019-06-27 |
| 1497319297 | Sara Hart | Internal Medicine | 420 W. Stone Wood Drive, Broken Arrow, OK 74012 | 2019-04-26 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1598284358 | Stephanie Sue Mcquarters | Clinical Medical Laboratory | 1840 South Lion Avenue, Broken Arrow, OK 74012 | 2017-09-13 |
| 1477072460 | Kama Rae Gettings | Nurse Practitioner | 4623 W. Kenosha St, Broken Arrow, OK 74012 | 2017-09-12 |
| 1689196727 | Kristen Sherie' Snyder | Case Manager/Care Coordinator | 1324 North Umbrella Avenue, Broken Arrow, OK 74012 | 2017-07-11 |
| 1699216754 | Hillside Wellness Plllp | Chiropractor | 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 | 2017-03-09 |
| Find all providers in zip 74012 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992330534 | Janet Poole Naguib | Optometrist | 4008 S Elm Pl Ste A, Broken Arrow, OK 74011-2021 | 2020-03-04 |
| 1699262386 | Fulps Family Eye Care, LLC | Optometrist | 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 | 2018-04-18 |
| 1942605324 | Alliance Vision Services Pllc | Optometrist | 2816 W Imperial St, Broken Arrow, OK 74011-6461 | 2014-10-28 |
| 1649685488 | Anji Brassfield O.d. P.C. | Optometrist | 307 W Washington St, Broken Arrow, OK 74012-6448 | 2014-06-30 |
| 1245643881 | Njoy Tulsa LLC | Optometrist | 1601 S Eucalyptus Ave, Suite 200, Broken Arrow, OK 74012-6053 | 2014-06-10 |
| 1447671664 | Ba Eye Site, Pllc | Optometrist | 2500 W New Orleans St, Broken Arrow, OK 74011-1574 | 2013-12-16 |
| 1508190893 | Scott M Hibbets Od PC Corp | Optometrist | 433 Stone Wood Dr, Broken Arrow, OK 74012-1026 | 2009-09-20 |
| 1932355112 | Anderson Eyecare PC | Optometrist | 2001 S Elm Pl Ste B, Broken Arrow, OK 74012-7025 | 2008-08-07 |
| 1902065972 | Brad Wells Od PC Inc | Optometrist | 2142 W Detroit St, Broken Arrow, OK 74012 | 2008-06-05 |
| 1811186976 | Stacey Murrell, Od PC Inc | Optometrist | 1406 S Aspen Ave, Broken Arrow, OK 74012-4807 | 2007-10-15 |
| Find all providers in BROKEN ARROW | ||||
| City | BROKEN ARROW |
| Zip Code | 74012 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.