Provider Demographics
NPI:1588848998
Name:HAMSA, JANIS NARTIA (OD)
Entity Type:Individual
Prefix:DR
First Name:JANIS
Middle Name:NARTIA
Last Name:HAMSA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3432 LONDONLEAF LN
Mailing Address - Street 2:3432
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-2902
Mailing Address - Country:US
Mailing Address - Phone:301-848-4401
Mailing Address - Fax:
Practice Address - Street 1:9901 YORK RD
Practice Address - Street 2:ATTENTION: TARGET OPTICAL
Practice Address - City:COCKEYSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21030-3407
Practice Address - Country:US
Practice Address - Phone:410-683-3420
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-20
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA2042152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist