Valley Retina P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A48531 Issued in CA

Legal business name

VALLEY RETINA P.C.

Practice address

12824 Stockholm Way
Truckee, CA 96161-6943

Phone

(209) 596-2266

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Shi-Hwa William Chang, M.D.

Title

President and Sole Share Holder

Phone

(209) 596-2266

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1144332628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12824 STOCKHOLM WAY",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961616943",
            "telephone_number": "209-596-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12824 STOCKHOLM WAY",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961616943",
            "telephone_number": "209-596-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY RETINA P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SHI-HWA",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT AND  SOLE SHARE HOLDER",
        "authorized_official_telephone_number": "209-596-2266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A48531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A485310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Turley, L.AC, MTCM
• Lynelle Ashley Tyler, PSY.D.
• Else Uglum, M.D.
• Aaron Ulland
• Sandy Umphrey
• Samantha Valois
• Nicholas Ramon Vargas, MD
• Jeffrey Michael Vasey, D.C.
• Oleg A. Vayner
• Erika Veidis

• Ophthalmology Physician in Truckee, CA
• Providers in Truckee, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.