Provider Demographics
NPI:1275504565
Name:CHOW, AMY K (OD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:K
Last Name:CHOW
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:10118 BANDLEY DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-2155
Mailing Address - Country:US
Mailing Address - Phone:408-253-3235
Mailing Address - Fax:408-253-3246
Practice Address - Street 1:10118 BANDLEY DR
Practice Address - Street 2:SUITE C
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-2155
Practice Address - Country:US
Practice Address - Phone:408-253-3235
Practice Address - Fax:408-253-3246
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA10500152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU76450Medicare UPIN