Jeannie D. Chow O.D.,P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1563 Issued in MD

Legal business name

JEANNIE D. CHOW O.D.,P.A.

Doing business as

Crystal Eyes

Practice address

412 Main St
Gaithersburg, MD 20878-5537

Phone

(301) 987-9381

Fax

(301) 987-9026

NPI assigned

Jan 14, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeannie Danling Chow, O.D.NPI 1265584999

Title

President

Phone

(301) 987-9381

Specialties & licenses 1

Addresses

Other names 1

• Crystal Eyes Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeannie Danling Chow, O.D.

  • Optometrist
  • Gaithersburg, MD
  • NPI 1265584999

  DC

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1114103819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 MAIN ST",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785537",
            "telephone_number": "301-987-9381",
            "fax_number": "301-987-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 MAIN ST",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785537",
            "telephone_number": "301-987-9381",
            "fax_number": "301-987-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNIE D. CHOW O.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "CHOW",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_middle_name": "DANLING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-987-9381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wilma Edang Javelosa
• Christina Yvonne Jay, LCPC
• Alvaro W Jaya
• Sujithra Jayaraj-Sudarsan, M.D.
• Marjorie Jean, LICSW
• James Jeffers
• Jeffrey Y.H. Chung, L.L.C.
• Seungye Jeon
• Jeremy J. Janssen, M.D., P.C.
• Marley Jerome-Featherson, LCSW-C

• Optometrist in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.