IndividualActive
Jonathan Hernandez, LDO
NPI 1174320238 · Optician · Mesa, AZ
Provider details
- NPI number
- 1174320238
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Male
- Sole proprietor
- No
- License
- LDO-003378 (AZ)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
240 W Baseline Rd
Mesa, AZ 85210-6107
Phone: (480) 668-9518
Fax: (480) 668-9520
Street-level locationGet directions
Mailing address
32493 N Woodside Dr
San Tan Valley, AZ 85143-1658
Registry dates
- Enumerated
- 2025-02-26
- Last updated
- 2025-02-26
- Certified
- 2025-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.