Individual provider Active NPI

Sandra Chou, OD

  • Optometrist
  • Inglewood, CA
National Provider Identifier
1174136410
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34677 Issued in CA
Practice address
236 N Market St
Inglewood, CA 90301-1217
Phone
(310) 671-2020
NPI assigned
Aug 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 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 34677 CA Primary

Addresses

Primary practice location

236 N Market St
Inglewood, CA 90301-1217

Mailing address

5175 Carson St
Burnaby, BRITISH COLUMBIA V5J 2Z1
CA

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
I20201001000239 CA Practitioner - Optometry 6608295290 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34677CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bream Optometry, Inc. Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Scolinos Optometry Inc. Optometrist CurrentSince Sep 17, 2020 Accepting new patients
Emily James, O.D., Inc. Optometrist CurrentSince Oct 22, 2021 Accepting new patients
You and Eyecare Optometry, Inc. Optometrist CurrentSince May 1, 2024 Accepting new patients
John Krochmal O.D. Inc. Optometrist Past Accepting new patients

Locations

22247 Mulholland Hwy
Calabasas, CA 91302
Phone (747) 232-2202

236 N Market St
Inglewood, CA 90301
Phone (310) 671-2020

2001 Ventura Blvd
Oxnard, CA 93036
Phone (805) 983-2377

7095 Market Place Dr
Santa Barbara, CA 93117
Phone (805) 562-1300

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1174136410",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "5175 CARSON ST",
            "city": "BURNABY",
            "state": "BRITISH COLUMBIA",
            "postal_code": "V5J 2Z1"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 N MARKET ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011217",
            "telephone_number": "310-671-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOU",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.