Nicole Noelani Chang, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

876 Issued in HI

Practice address

94-050 Farrington Hwy Ste B1-1
Waipahu, HI 96797

Phone

(808) 677-1544

Fax

(808) 671-3538

NPI assigned

Mar 31, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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

Specialty

Optometry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tyrie Lee Jenkins MD Inc 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

78.91 of 100Reported as group

Quality

86.42

Improvement activities

40

Cost

47.82

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (3 of 5)

Locations

Networks

• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
• HI PPO

Interoperability endpoints

• Direct secure messaging: drchang@jenkinseyecare.direct.eyemdemr.com

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

• Tyrie Lee Jenkins, M.D., Inc.

  • Specialist
  • Honolulu, HI
  • NPI 1295791135

  HI

  Medicare reassignment Care Compare group NPD
• Vision Care Center of Hawaii LLC

  • Optometrist
  • Waipahu, HI
  • NPI 1790442812
  NPD
• Young S. Kim Optometric Center Inc.

  • Optometrist
  • Los Angeles, CA
  • NPI 1952732679
  NPD (past)

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566604800000",
    "number": "1073976635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-050 FARRINGTON HWY STE B1-1",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971800",
            "telephone_number": "808-677-1544",
            "fax_number": "808-671-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-050 FARRINGTON HWY STE B1-1",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "96797",
            "telephone_number": "808-677-1544",
            "fax_number": "808-671-3538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12324 Hoxie Ave",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CA",
            "postal_code": "90650",
            "country_code": "US",
            "telephone_number": "562-929-4499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2043 College Way",
            "address_purpose": "LOCATION",
            "city": "Forest Grove",
            "state": "OR",
            "postal_code": "971161756",
            "country_code": "US",
            "telephone_number": "808-722-1192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12324 Hoxie Ave",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CA",
            "postal_code": "90650",
            "country_code": "US",
            "telephone_number": "562-929-4499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "NICOLE",
        "middle_name": "NOELANI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2019-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Kwok Wai Chan
• Satoko Tochikubo Chan
• Duane A. Chang, O.D.
• Karen Chang
• Kevin Kin Tuck Chang, ATC
• Charlie Y Sonido M D LLC
• Quawana S Charlton, MASSAGE THERAPIST
• Chart Rehabilitation of Hawaii Inc
• Weichin Chen, MD
• Cheri Tarutani LLC

• All providers in Waipahu, HI
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.