Hernandez, Madeline
Hernandez, Madeline is an individual health care provider with primary practice located at 1510 E Fowler Ave , Tampa FL 33612-5416. She recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Hernandez, Madeline can be contacted via phone (813) 971-0471.Contact Information
Primary practice address
1510 E Fowler Ave
Tampa FL 33612-5416
Phone: (813) 971-0471
Fax: (813) 464-2763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3590 | Florida |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPC3590 | Florida |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | OPC3590 | Florida |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | OPC3590 | Florida |
Profile Details
| NPI number | 1710907944 |
|---|---|
| LBN Legal business name | Hernandez, Madeline |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Mar 29th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710907944 | NPPES |
| Florida | MEDICAID | 620915700 |
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