Individual provider Active NPI

Yang Ping Chang, OD

  • Optometrist
  • Englewood, NJ
National Provider Identifier
1063588028
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00600500 Issued in NJ
Practice address
82 Grand Ave FL 1
Englewood, NJ 07631-3506
Phone
(201) 871-3937
Fax
(201) 871-6009
NPI assigned
Nov 28, 2006
Last updated
Oct 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00600500 NJ Primary

Addresses

Primary practice location

82 Grand Ave FL 1
Englewood, NJ 07631-3506

Mailing address

82 Grand Ave FL 1
Englewood, NJ 07631-3506
Phone (201) 871-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060202000625 NJ Practitioner - Optometry 6103717004 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Accurate Eyecare, LLC CurrentSince Jun 14, 2008 Accepting new patients
Empire Vision Center, Inc Past Accepting new patients
Empire Vision Center Inc Optometrist Past Accepting new patients

Locations

82 Grand Ave
#1
Englewood, NJ 07631
Phone (201) 871-3937

81 E Route 4
Ste 402B
Paramus, NJ 07652
Phone (201) 871-3937

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1063588028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 GRAND AVE FL 1",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313506",
            "telephone_number": "201-871-3937",
            "fax_number": "201-871-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 GRAND AVE FL 1",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076313506",
            "telephone_number": "201-871-3937",
            "fax_number": "201-871-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "YANG",
        "middle_name": "PING",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00600500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, NJ

Sources for this page

Verify at the official NPI Registry.