| Diana Catalina Hernandez, OD | |
|
964 S Wickham Rd Ste 1, West Melbourne, FL 32904-1460 | |
| (321) 339-2211 | |
| (321) 339-1183 |
| Full Name | Diana Catalina Hernandez |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 964 S Wickham Rd Ste 1, West Melbourne, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003075730 | NPI | - | NPPES |
| 001652100 | Medicaid | FL | |
| 1901V | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OEG002112 (Pennsylvania) | Secondary |
| 152W00000X | Optometrist | OPC 4308 (Florida) | Primary |
| Provider Name | Brevard Eye Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1558456681 PECOS PAC ID: 7719884576 Enrollment ID: O20040108000642 |
| Mailing Address | Practice Location Address |
|---|---|
| Diana Catalina Hernandez, OD 964 S Wickham Rd, West Melbourne, FL 32904-1460 Ph: (321) 339-2211 | Diana Catalina Hernandez, OD 964 S Wickham Rd Ste 1, West Melbourne, FL 32904-1460 Ph: (321) 339-2211 |
Eyecare Plus Optometrist Medicare: Medicare Enrolled Practice Location: 1573 South Wickham Road, West Melbourne, FL 32904 Phone: 321-723-8115 Fax: 321-723-7388 | |
Treasured Eyes Optometrist Medicare: Not Enrolled in Medicare Practice Location: 964 S Wickham Rd Ste 1, West Melbourne, FL 32904 Phone: 321-339-2211 Fax: 321-339-1183 | |
Dr. Cortez Ramon Lewis, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1573 S Wickham Rd, West Melbourne, FL 32904 Phone: 321-220-0394 Fax: 239-232-8881 | |
Dr. Andreanos Jordanopoulos, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1573 South Wickham Road, West Melbourne, FL 32904 Phone: 321-723-8115 Fax: 321-723-7388 | |
William D. Tanke, Od, Pa Optometrist Medicare: Medicare Enrolled Practice Location: 1813 W New Haven Ave, West Melbourne, FL 32904 Phone: 321-951-2020 | |
Samuel Winn, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1813 W New Haven Ave, West Melbourne, FL 32904 Phone: 321-951-2220 Fax: 321-722-4754 |