MEDICARE: HOLLYWOOD OPTOMETRIST

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

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	:	1942826581
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLLYWOOD OPTOMETRIST

Provider Business Mailing Address
First Line	:	2105 BEVERLY BLVD STE 117
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-2254
Country	:	US
Telephone Number	:	323-667-2102
Fax Number	:	323-927-1799

Provider Business Practice Location Address
First Line	:	2105 BEVERLY BLVD STE 117
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90057-2254
Country	:	US
Telephone Number	:	323-667-2102
Fax Number	:	323-927-1799

Authorized Official
Title or Position	:	OWNER
Name	:	SHERMIN LAHIJANI
Credential	:	OD
Telephone Number	:	323-667-2102

Provider Enumeration Date	:	06/19/2020
Last Update Date	:	06/19/2020

Similar Medicare Providers

1891764833 — DR. SHERMIN LAHIJANI O.D.
Practice Location Address:

2105 BEVERLY BLVD STE 117
LOS ANGELES, CA
90057-2254

Practice Phone: 323-667-2102
Practice Fax: 323-927-1799

1467431791 — SOUTH WESTERN PHARMACY
Practice Location Address:

7301 S WESTERN AVE
LOS ANGELES, CA
90047-2254

Practice Phone: 323-752-1692
Practice Fax: 323-752-0710

1154347797 — FLORENCE WESTERN MEDICAL CLINIC INC
Practice Location Address:

7301 S WESTERN AVE
LOS ANGELES, CA
90047-2254

Practice Phone: 323-778-2131
Practice Fax:

1841202744 — KEVIN C. THOMAS M.D.
Practice Location Address:

7301 S WESTERN AVE
LOS ANGELES, CA
90047-2254

Practice Phone: 323-778-2131
Practice Fax: 323-778-2382

1992871206 — SOUTH WESTERN PHARMACY
Practice Location Address:

7301 SOUTH WESTERN AVE
LOS ANGELES, CA
90047-2254

Practice Phone: 323-752-1692
Practice Fax: 323-752-0710

1407910763 — MRS. DEBRA CARDELL ADEWALE PAC
Practice Location Address:

7301 S WESTERN AVE
LOS ANGELES, CA
90047-2254

Practice Phone: 323-778-2131
Practice Fax:

Directions to “HOLLYWOOD OPTOMETRIST ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.