Provider Demographics
NPI:1770627945
Name:CHOW, MICHAEL H (OD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:H
Last Name:CHOW
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:7084 LAKELAND HILLS WAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092
Mailing Address - Country:US
Mailing Address - Phone:253-351-0092
Mailing Address - Fax:253-351-0094
Practice Address - Street 1:7084 LAKELAND HILLS WAY
Practice Address - Street 2:SUITE 101
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98092
Practice Address - Country:US
Practice Address - Phone:253-351-0092
Practice Address - Fax:253-351-0094
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2022-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAWA3181TX152W00000X
WAOD00003181152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAU65793Medicare UPIN