Provider Demographics
NPI:1760508766
Name:CHOW, BONNIE H (OD)
Entity Type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:H
Last Name:CHOW
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HENRY
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620
Mailing Address - Country:US
Mailing Address - Phone:949-293-9663
Mailing Address - Fax:949-654-3668
Practice Address - Street 1:8230 TALBERT AVE.
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646
Practice Address - Country:US
Practice Address - Phone:714-842-2795
Practice Address - Fax:714-842-9135
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12284T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist