Active NPI
Jessica Chow, O.D.
- Optometrist
- Glendale, AZ
National Provider Identifier
1043767973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2149
- Practice address
- 5707 W Northern Ave
Suite 106
Glendale, AZ 85301-1300 - Phone
- (602) 512-3299
- Fax
- (602) 512-3303
- NPI assigned
- Sep 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2149 | AZ | Primary |
Addresses
Primary practice location
5707 W Northern Ave
Suite 106
Glendale, AZ 85301-1300
Mailing address
220 N McKemy Ave
Chandler, AZ 85226-2654
Phone (480) 961-1865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2149 | AZ | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473292800000",
"number": "1043767973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 N MCKEMY AVE",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852262654",
"telephone_number": "480-961-1865",
"fax_number": "480-893-8172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5707 W NORTHERN AVE",
"address_2": "SUITE 106",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853011300",
"telephone_number": "602-512-3299",
"fax_number": "602-512-3303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOW",
"first_name": "JESSICA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-08",
"last_updated": "2016-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "2149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.