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DR. RICHARD W HERNANDEZ O.D.
NPI 1952302648
Optometrist in Palm Harbor, FL

Active since August 03, 2005PECOS EnrolledAccepts Medicare Assignment
36021 US HIGHWAY 19 N, PALM HARBOR, FL 34684(727) 772-1000(727) 771-0770 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 20, 2021, Mar 17, 2018 (2 updates tracked since 2018).

About Dr. Richard W Hernandez O.d. NPPES

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

DR. RICHARD W HERNANDEZ O.D. (NPI 1952302648) is an individual optometrist in Palm Harbor, Florida, licensed in Florida (OPC2603) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1992).

NPPES Registry Identity

NPI1952302648
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RICHARD W HERNANDEZCredential: O.D.
Location Address36021 US HIGHWAY 19 NPalm Harbor, FL 34684-1531
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970
Phone(727) 772-1000
Fax(727) 771-0770
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1992
Enumeration DateAugust 3, 2005
Last NPPES UpdateDecember 20, 20212 updates tracked since enumeration
NPPES CertifiedDecember 20, 2021
✔ NPI 1952302648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC2603
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.
36021 US HIGHWAY 19 N, Palm Harbor, FL 34684
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Other Identifiers 1

Medicaid086946501FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Dr. Richard W 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 ID4082690318
PECOS Enrollment IDI20040628000723
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 3

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
81 services81 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
25 services25 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
20 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34684 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 2

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

MYEYEDR OPTOMETRY OF FLORIDA, LLC
Optometrist
36021 US HIGHWAY 19 N
PALM HARBOR, FL 34684
Pinellas County (727) 772-1000
TB EYE CARE PA
Optometrist
36021 US HIGHWAY 19 N
PALM HARBOR, FL 34684
Pinellas County (727) 772-1000

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 Richard Hernandez's NPI number?

The NPI number for Richard Hernandez is 1952302648. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is Richard Hernandez located?

Richard Hernandez practices at 36021 Us Highway 19 N, Palm Harbor, FL 34684. The listed phone number is (727) 772-1000.

What is Richard Hernandez's specialty?

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

Is Richard Hernandez enrolled in Medicare?

Yes. Richard 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 Richard Hernandez accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Blue Cross Blue Shield of Wyoming and 8 other insurers list Richard 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 Richard Hernandez was last updated on December 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.