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NPI Code Detail

MEDICARE: BRIAN CHOU, O.D., INC.

MEDICARE: BRIAN CHOU, O.D., INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152WC0802XCorneal and Contact Management Optometrist11119TCA

General Provider Information

NPI Number : 1588157952
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRIAN CHOU, O.D., INC.
Provider Business Mailing Address
First Line : 2020 CAMINO DEL RIO N STE 109
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-1542
Country : US
Telephone Number : 619-299-6064
Fax Number :
Provider Business Practice Location Address
First Line : 2020 CAMINO DEL RIO N STE 109
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-1542
Country : US
Telephone Number : 619-299-6064
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. BRIAN CHOU
Credential : OD
Telephone Number : 858-395-3233
Provider Enumeration Date : 06/11/2018
Last Update Date : 06/11/2018

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