Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Alfonso Hernandez Jr., OD

Individual provider Optometrist · NPI 1205314572

Dr. Alfonso Hernandez Jr., OD is an Optometry in Broken Arrow, Oklahoma. Qualified in 2018, 8 years ago. Practices with Beatty-Jtjv LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
8
Licensed in
OK
In the registry since
2018
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3505 W Kenosha St
Broken Arrow, OK 74012-8948
Phone: (918) 286-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2984 (OK)

Record details

NPI number1205314572
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 30, 2018
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Beatty-Jtjv Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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