MEDICARE: DR. JASMINE SODHI CHADHA OD

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	2023002692	MO

General Provider Information

NPI Number	:	1598115784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASMINE SODHI CHADHA OD

Provider Business Mailing Address
First Line	:	361 WINDING WOODS CTR
Second Line	:
City	:	O FALLON
State	:	MO
Zip	:	63366-4170
Country	:	US
Telephone Number	:	636-281-5367
Fax Number	:	636-379-2519

Provider Business Practice Location Address
First Line	:	361 WINDING WOODS CTR
Second Line	:
City	:	O FALLON
State	:	MO
Zip	:	63366-4170
Country	:	US
Telephone Number	:	636-281-5367
Fax Number	:	636-379-2519

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2016
Last Update Date	:	03/10/2025

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