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

Jonathan Hernandez, LDO

Individual provider Optician · NPI 1174320238

Jonathan Hernandez, LDO is an Optician in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2025.

Licensed in
AZ
In the registry since
2025

Practice location Address checks out

240 W Baseline Rd
Mesa, AZ 85210-6107
Phone: (480) 668-9518
Fax: (480) 668-9520
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence LDO-003378 (AZ)

Record details

NPI number1174320238
Entity typeIndividual (Type 1)
GenderMale
Credentials LDO
Sole proprietorNo
NPI enumeratedFebruary 26, 2025
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025
Mailing address32493 N Woodside Dr, San Tan Valley, AZ 85143-1658

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