MR. ROBERT0 HERNANDEZ


Address: 4767 Broadway, New York, NY 10034-4915
Phone: 2125679351

MR. ROBERT0 HERNANDEZ (NPI# 1770786642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770786642
Entity Type Individual
Full Name MR. ROBERT0 HERNANDEZ
Credential OPT
Practice Address 4767 Broadway
New York
NY 10034-4915
Practice Telephone 2125679351
Mailing Telephone 2125679351
Enumeration Date 2007-06-07
Last Update Date 2008-01-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
005407 NY Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 01363446 05

Office Location

Street Address 4767 BROADWAY
City NEW YORK
State NY
Zip Code 10034-4915

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649391285 Superior Vision of New York, Inc. Optometrist 4767 Broadway, New York, NY 10034-4915 2007-04-02

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10034

Improve Information

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Dataset Information

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.

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