Kirk Chow, O.D.
Individual provider Active NPI Optometrist · Sea Girt, NJ
NPI 1447668017 · NPPES record last updated Jul 28, 2014
Key facts
- NPI
- 1447668017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 270A00654100 (NJ)
- Practice address
- 2204 Highway 35
Suite 9
Sea Girt, NJ 08750-2323 - Phone
- (732) 223-2800
- Fax
- (732) 223-5121
- NPI assigned
- Jul 28, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141008000794 | NJ | Practitioner - Optometry | 2062632391 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270A00654100 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optometric Physicians of Middletown PA | Optometrist | Current |
Accepting new patients |
| Optometric Physicians of Middletown PA | Optometrist | Current |
Accepting new patients |
Locations
178 Highway 35
Ste 1
Eatontown, NJ 07724
Phone (732) 542-3050
178 Highway 35
Eatontown, NJ 07724
Phone (732) 475-7535
3013 State Route 35
Hazlet, NJ 07730
Phone (732) 739-4000
1147 State Route 35
Middletown, NJ 07748
Phone (732) 671-7300
786 State Route 35
Middletown, NJ 07748
Phone (732) 671-7300
35 Monmouth St
Red Bank, NJ 07701
Phone (732) 530-5151
2204 Highway 35
Ste 1
Sea Girt, NJ 08750
Phone (732) 223-2800
2204 Highway 35
Ste 9
Sea Girt, NJ 08750
Phone (732) 223-2800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 270A00654100 | NJ | Yes |
Addresses
Primary practice location
2204 Highway 35
Suite 9
Sea Girt, NJ 08750-2323
Mailing address
2204 Highway 35
Suite 9
Sea Girt, NJ 08750-2323
Phone (732) 223-2800
Other providers in Sea Girt, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.