Organization Active NPI

Jennifer Chow OD LLC

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1619009974
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
533 Issued in NV
Legal business name
JENNIFER CHOW OD LLC
Practice address
6464 N. Decatur Blvd
Las Vegas, NV 89131
Phone
(702) 432-3937
Fax
(702) 458-3937
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jennifer Chow, O.D.
Title
Owner
Phone
(702) 340-3078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 533 NV Primary

Addresses

Primary practice location

6464 N. Decatur Blvd
Las Vegas, NV 89131

Mailing address

9377 Aston Martin Dr
Las Vegas, NV 89117-7118
Phone (702) 340-3078

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619009974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9377 ASTON MARTIN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177118",
            "telephone_number": "702-340-3078",
            "fax_number": "702-458-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 N. DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89131",
            "telephone_number": "702-432-3937",
            "fax_number": "702-458-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER CHOW OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHOW",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-340-3078",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.