NPIMap

Organization Active NPI

Tiffany W. Chang, OD, Inc.

Doing business as Cupertino Optometry

  • Optometrist
  • Cupertino, CA
National Provider Identifier
1093005050
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TPL 13471 Issued in CA
Legal business name
TIFFANY W. CHANG, OD, INC.
Doing business as
Cupertino Optometry
Practice address
10430 S de Anza Blvd
Suite 100
Cupertino, CA 95014-3098
Phone
(408) 865-0440
Fax
(408) 865-0411
NPI assigned
Apr 12, 2011
Last updated
Feb 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Dr. Tiffany Wei Chang, ODNPI 1336176080
Title
President
Phone
(781) 354-8937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TPL 13471 CA Primary

Addresses

Primary practice location

10430 S de Anza Blvd
Suite 100
Cupertino, CA 95014-3098

Mailing address

10430 S de Anza Blvd
Suite 100
Cupertino, CA 95014-3098
Phone (408) 865-0440

Other names 1

  • Cupertino Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

10430 S De Anza Blvd
Ste 100
Cupertino, CA 95014
Phone (408) 865-0440

10680 S De Anza Blvd
Ste C
Cupertino, CA 95014
Phone (408) 865-0440

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1093005050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10430 S DE ANZA BLVD",
            "address_2": "SUITE 100",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143098",
            "telephone_number": "408-865-0440",
            "fax_number": "408-865-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10430 S DE ANZA BLVD",
            "address_2": "SUITE 100",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143098",
            "telephone_number": "408-865-0440",
            "fax_number": "408-865-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY W. CHANG, OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "WEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-354-8937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "TPL 13471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cupertino Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.