Healthcare Provider Details

I. General information

NPI: 1285560672
Provider Name (Legal Business Name): CHOU KROCHMAL OPTOMETRIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10225 TELEPHONE RD
VENTURA CA
93004-2804
US

IV. Provider business mailing address

10225 TELEPHONE RD
VENTURA CA
93004-2804
US

V. Phone/Fax

Practice location:
  • Phone: 805-647-4950
  • Fax: 805-647-4969
Mailing address:
  • Phone: 805-647-4950
  • Fax: 805-647-4969

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: SANDRA CHOU
Title or Position: OPTOMETRIST/VICE PRESIDENT
Credential: OD
Phone: 510-277-6050