NPI Code Detail JSON Logo

1053204792 NPI number — OKAERI ALDAIR HERNANDEZ OD

NPI Number: 1053204792
Health Care Provider/Practitioner: OKAERI ALDAIR HERNANDEZ OD

Information about “1053204792” NPI (OKAERI ALDAIR HERNANDEZ OD) exists in 1053204792 in HTML format HTML  |  1053204792 in plain Text format TXT  |  1053204792 in PDF (Portable Document Format) PDF  |  1053204792 in an XML format XML  formats.

NPI Number : 1053204792 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053204792",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HERNANDEZ",
    "FirstName": "OKAERI",
    "MiddleName": "ALDAIR",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "OD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "39 FRIENDSHIP RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOMERVILLE",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "35670-3707",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "256-565-4211",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1107 BELTLINE RD SE STE C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DECATUR",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "35601-6556",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "256-822-7593",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/02/2025",
    "LastUpdateDate": "06/16/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "S-F64",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.