Provider Demographics
NPI:1851679716
Name:HAMID, JASMINE ARDESHIR (OD)
Entity Type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:ARDESHIR
Last Name:HAMID
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 1:1140 MANHATTAN BEACH BLVD APT A
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-5249
Mailing Address - Country:US
Mailing Address - Phone:407-376-9536
Mailing Address - Fax:
Practice Address - Street 1:9236 CYPRESS COVE DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-4813
Practice Address - Country:US
Practice Address - Phone:073-769-5364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-26
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5026152W00000X
NYTUV007709152W00000X
CA14144152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist