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LORENA ZENAIDA FLORES-HERNANDEZ O.D.
NPI 1710941828
Optometrist in Edinburg, TX

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
81.44/100
CMS Quality Rating
3804 S JACKSON RD STE 4, EDINBURG, TX 78539(956) 296-3061(956) 296-3060 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lorena Zenaida Flores-hernandez O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORENA ZENAIDA FLORES-HERNANDEZ O.D. (NPI 1710941828) is an individual optometrist in Edinburg, Texas, licensed in Texas (06712TG) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Edinburg, and is a graduate of University Of Houston - College Of Optometry (2005).

NPPES Registry Identity

NPI1710941828
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameLORENA ZENAIDA FLORES-HERNANDEZCredential: O.D.
Location Address3804 S JACKSON RD STE 4Edinburg, TX 78539-6683
Mailing Address5100 Oleander DrSan Juan, TX 78589-3999 · (956) 781-1270 · Fax (956) 460-3211
Phone(956) 296-3061
Fax(956) 296-3060
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2005
Enumeration DateApril 14, 2006
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1710941828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 06712TG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 06712TG (TX)
Also ListedOptometrist · PediatricsTaxonomy 152WP0200X · License 06712TG (TX)
Also ListedOptometrist · Sports VisionTaxonomy 152WS0006X · License 06712TG (TX)
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License 06712TG (TX)
3804 S JACKSON RD STE 4, Edinburg, TX 78539
Open in Google Maps ↗

Secondary Practice Location 1

Location 12301 S US Highway 281Edinburg, TX 78539-3712 · Phone (956) 383-5581

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lorena Zenaida Flores-hernandez O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456524990
PECOS Enrollment IDI20111028000647
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78539 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.83
Promoting Interoperability98
Improvement Activities40
Cost49.23

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GUADALUPE ALEJANDRA FLORES O.D.
Optometrist
3804 S JACKSON RD STE 4
EDINBURG, TX 78539
Hidalgo County (956) 296-3061

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lorena Flores-hernandez's NPI number?

The NPI number for Lorena Flores-hernandez is 1710941828. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Lorena Flores-hernandez located?

Lorena Flores-hernandez practices at 3804 S Jackson Rd Ste 4, Edinburg, TX 78539. The listed phone number is (956) 296-3061.

What is Lorena Flores-hernandez's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lorena Flores-hernandez enrolled in Medicare?

Yes. Lorena Flores-hernandez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lorena Flores-hernandez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Lorena Flores-hernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lorena Flores-hernandez was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.