DR. LAUREN BROOKE HERNANDEZ (O.D.) – Optometrist, NPI 1376990523

DR. LAUREN BROOKE HERNANDEZ (O.D.) is a healthcare provider. based in Texarkana, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 9017T (TX). The NPI Number for DR. LAUREN BROOKE HERNANDEZ (O.D.) is 1376990523

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAUREN BROOKE HERNANDEZ (O.D.)
NPI
1376990523
Phone
(479) 216-4548
Address
4224 TEXAS BLVD
Enumeration Date
18 May 2016
Last Update Date
15 August 2016

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9037943711
Graduation Year
2016 (10 years ago)
PAC ID
5698056224
Group Practice PAC ID
4981706371
Professional Enrollment ID
I20161220000144
Address ID
TX755033013TE4224XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

3,128 OPTOMETRY in TX

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Provider Addresses for DR. LAUREN BROOKE HERNANDEZ (O.D.)

  • 4224, Texas Boulevard, Texarkana, Bowie County, Texas, 75503, United States

    TEXARKANA, TX 755033013

    Phone: (479) 216-4548

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $219.

Total Amount is formed as General ($219) + Research ($0) + Ownership ($0) = $219.

Last reported payment date: 2024-02-08 • Largest payer in this snapshot: Alcon Vision LLC ($124).

Total Amount

$219

General + Research + Ownership

Payments

7

Total payment records

General Amount

$219

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161220000144IOptometryTXTBD
I20170221001834IOptometryARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981706371View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. LAUREN BROOKE HERNANDEZ (O.D.)?
DR. LAUREN BROOKE HERNANDEZ (O.D.) — NPI 1376990523 — is the standard way to identify this listing.
Does CMS list DR. LAUREN BROOKE HERNANDEZ (O.D.) as active?
Yes — DR. LAUREN BROOKE HERNANDEZ (O.D.) is active in the NPI listing used on this page.
What taxonomy line describes DR. LAUREN BROOKE HERNANDEZ (O.D.)?
For research purposes, treat DR. LAUREN BROOKE HERNANDEZ (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is DR. LAUREN BROOKE HERNANDEZ (O.D.) based?
DR. LAUREN BROOKE HERNANDEZ (O.D.) is tied to Texarkana, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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