| Jessica Marie Hernandez, OD | |
|
4553 N Loop 1604 W Ste 1225, San Antonio, TX 78249-1365 | |
| (210) 251-2372 | |
| Not Available |
| Full Name | Jessica Marie Hernandez |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 4553 N Loop 1604 W Ste 1225, San Antonio, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891566873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 10964T (Texas) | Primary |
| Provider Name | San Antonio Eyeworks Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780050286 PECOS PAC ID: 4789993924 Enrollment ID: O20151029000172 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Marie Hernandez, OD 6203 Sun Dial St, Leon Valley, TX 78238-1544 Ph: (210) 288-9861 | Jessica Marie Hernandez, OD 4553 N Loop 1604 W Ste 1225, San Antonio, TX 78249-1365 Ph: (210) 251-2372 |
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