Individual
JASMINE LEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2033 SANTA ROSA PLZ, SANTA ROSA, CA 95401-6349
(707) 544-0924
Mailing address
2033 SANTA ROSA PLZ, SANTA ROSA, CA 95401-6349
(707) 544-0924
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
34589
CA
Other
Enumeration date
05/11/2020
Last updated
06/25/2026
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