Organization Active NPI

Keith D. Chow, O. D., Inc.

  • Optometrist
  • San Jose, CA
National Provider Identifier
1679525760
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10268TPL Issued in CA
Legal business name
KEITH D. CHOW, O. D., INC.
Practice address
1673 Branham LN
San Jose, CA 95118-5211
Phone
(408) 269-6861
Fax
(408) 269-6863
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Dr. Keith Darren Chow, O. D.NPI 1568432110
Title
President
Phone
(408) 269-6861

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 10268TPL CA Primary

Addresses

Primary practice location

1673 Branham LN
San Jose, CA 95118-5211

Mailing address

1673 Branham LN
San Jose, CA 95118-5211
Phone (408) 269-6861

Other names 1

  • Branham Family Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060830000526 CA Part B Supplier - Clinic/Group Practice 8224031992 Receives reassigned benefits from 4 practitioners
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

1673 Branham Ln
San Jose, CA 95118
Phone (408) 269-6861

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1679525760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 BRANHAM LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951185211",
            "telephone_number": "408-269-6861",
            "fax_number": "408-269-6863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 BRANHAM LN",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951185211",
            "telephone_number": "408-269-6861",
            "fax_number": "408-269-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH D. CHOW, O. D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "CHOW",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "DARREN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-269-6861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10268TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Branham Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.