MEDICARE: BRONSON W HAMADA O D A PROFESSIONAL CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	9003T	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497786644
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRONSON W HAMADA O D A PROFESSIONAL CORP

Provider Business Mailing Address
First Line	:	7192 EDINGER AVE
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647
Country	:	US
Telephone Number	:	714-848-1400
Fax Number	:	714-843-2020

Provider Business Practice Location Address
First Line	:	7192 EDINGER AVE
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-3505
Country	:	US
Telephone Number	:	714-848-1400
Fax Number	:	714-843-2020

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BRONSON W HAMADA
Credential	:	O.D.
Telephone Number	:	714-848-1400

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	08/21/2025

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