Provider Demographics
NPI:1184398190
Name:CHOW, CASSANDRA LAING (OD)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:LAING
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 1:1138 NORTH CT
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-1966
Mailing Address - Country:US
Mailing Address - Phone:650-636-3565
Mailing Address - Fax:
Practice Address - Street 1:3251 20TH AVE STE 219
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94132-1918
Practice Address - Country:US
Practice Address - Phone:415-566-9292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-03
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34873152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist