Individual provider Active NPI

Christopher Low, O.D.

  • Optometrist
  • San Mateo, CA
National Provider Identifier
1124458195
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14807 Issued in CA
Practice address
117 N San Mateo Dr Ste 2
San Mateo, CA 94401-2794
Phone
(650) 344-2555
Fax
(650) 344-1702
NPI assigned
Nov 12, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14807 CA Primary

Addresses

Primary practice location

117 N San Mateo Dr Ste 2
San Mateo, CA 94401-2794

Mailing address

117 N San Mateo Dr Ste 2
San Mateo, CA 94401-2794
Phone (650) 344-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140313000161 CA Order and Referring Only - OptometryPractitioner - Optometry 8325278351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1124458195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N SAN MATEO DR STE 2",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012794",
            "telephone_number": "650-344-2555",
            "fax_number": "650-344-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N SAN MATEO DR STE 2",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012794",
            "telephone_number": "650-344-2555",
            "fax_number": "650-344-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOW",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-12",
        "last_updated": "2020-10-13",
        "certification_date": "2020-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.