NPIMap

Organization Active NPI

Grace Chang, OD PC

  • Optometrist
  • Springfield, VA
National Provider Identifier
1013453877
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002188 Issued in VA
Legal business name
GRACE CHANG, OD PC
Practice address
6575N Frontier Dr
Springfield, VA 22150-1415
Phone
(703) 971-7722
Fax
(703) 971-1724
NPI assigned
Jan 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Dr. Grace Chang
Title
Owner/Optometrist
Phone
(703) 971-7722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618002188 VA Primary

Addresses

Primary practice location

6575N Frontier Dr
Springfield, VA 22150-1415

Mailing address

6575N Frontier Dr
Springfield, VA 22150-1415
Phone (703) 971-7722

National Provider Directory

National Provider Directory

Locations

6575N Frontier Dr
Springfield, VA 22150
Phone (703) 971-7722

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1013453877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6575N FRONTIER DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501415",
            "telephone_number": "703-971-7722",
            "fax_number": "703-971-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575N FRONTIER DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501415",
            "telephone_number": "703-971-7722",
            "fax_number": "703-971-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CHANG, OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "703-971-7722",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.