Individual
DR. JACOB SHAHIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
904 CEDAR ST, SANTA CRUZ, CA 95060-3802
(831) 426-1050
Mailing address
1091 BIG SUR DR, SAN JOSE, CA 95120-3415
(408) 466-0822
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35336
CA
Other
Enumeration date
10/18/2022
Last updated
07/12/2023
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