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General NPI Number Information
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NPI Number | 1164604658
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Entity Type | Organization
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Legal Business Name | DR HERNANDEZ OPTOMETRY INC
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 6134 PACIFIC BLVD
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-2923
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Country | US
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Telephone | 323-589-3381
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Fax | 323-583-6439
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Provider Business Mailing Address
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Address Line | 6134 PACIFIC BLVD
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-2923
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Country | US
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Telephone | 323-589-3381
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Fax | 323-583-6439
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Authorized Official
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Title or Position | CEO
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Name | MR. DAVID HERNANDEZ
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Credential |
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Telephone | 323-589-3381
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT 7216 T
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License Number State | CA
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