Provider Demographics
NPI:1295828341
Name:CHOWINS, ELIZABETH TORRES (OD)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:TORRES
Last Name:CHOWINS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:1255 14TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS OSOS
Mailing Address - State:CA
Mailing Address - Zip Code:93402-1409
Mailing Address - Country:US
Mailing Address - Phone:661-301-8810
Mailing Address - Fax:
Practice Address - Street 1:1255 14TH ST
Practice Address - Street 2:
Practice Address - City:LOS OSOS
Practice Address - State:CA
Practice Address - Zip Code:93402-1409
Practice Address - Country:US
Practice Address - Phone:661-301-8810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9968T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU51864Medicare UPIN
CABB479YMedicare PIN
CASD0099681Medicare ID - Type Unspecified