Individual provider Active NPI

Jasmine Ardeshir Hamid, O.D.

  • Optometrist
  • Orlando, FL
National Provider Identifier
1851679716
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14144 Issued in CA
Practice address
9236 Cypress Cove Dr
Orlando, FL 32819-4813
Phone
(073) 769-5364
NPI assigned
Jul 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5026 FL
Optometrist 152W00000X TUV007709 NY
Optometrist 152W00000X 14144 CA Primary

Addresses

Primary practice location

9236 Cypress Cove Dr
Orlando, FL 32819-4813

Mailing address

1140 Manhattan Beach Blvd Apt a
Manhattan Beach, CA 90266-5249
Phone (407) 376-9536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230710001365 TX Practitioner - Optometry 2062719685 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.77 of 100Reported as group
Quality
76.11
Promoting interoperability
100
Improvement activities
40
Cost
79.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5026FLMDOptometrist
TUV007709NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Jun 1, 2023 Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation CurrentSince Jun 1, 2023 Accepting new patients
Southcentral Foundation CurrentSince Jun 1, 2023 Accepting new patients

Locations

7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

4341 Tudor Centre Dr
#2
Anchorage, AK 99508
Phone (907) 729-8532

Interoperability endpoints

  • Direct secure messaging: jhamid@direct.scf.cc
  • Direct secure messaging: jirani@centuryeyecare.direct.eyemdemr.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1851679716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 MANHATTAN BEACH BLVD APT A",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665249",
            "telephone_number": "407-376-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9236 CYPRESS COVE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328194813",
            "telephone_number": "073-769-5364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMID",
        "first_name": "JASMINE",
        "middle_name": "ARDESHIR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2023-07-05",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5026",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007709",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.