Provider Demographics
NPI:1700895935
Name:CHOW, VICTORIA CHANG (OD)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:CHANG
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 1:2224 PEBBLE BEACH TRL
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93036-7709
Mailing Address - Country:US
Mailing Address - Phone:805-983-1313
Mailing Address - Fax:
Practice Address - Street 1:2380 LAS POSAS RD STE C
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-3456
Practice Address - Country:US
Practice Address - Phone:805-987-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10796T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist