Individual provider Active NPI

Albert Tailon Chang, O.D.

  • Optometrist
  • Campbell, CA
National Provider Identifier
1215223466
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14162 Issued in CA
Practice address
338 E Hamilton Ave
Campbell, CA 95008-0207
Phone
(408) 866-2020
NPI assigned
Jun 27, 2011
Last updated
Feb 11, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14162 CA Primary

Addresses

Primary practice location

338 E Hamilton Ave
Campbell, CA 95008-0207

Mailing address

338 E Hamilton Ave
Campbell, CA 95008-0207
Phone (408) 866-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110902000069 CA Practitioner - Optometry 3870763691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

904 Cedar St
Santa Cruz, CA 95060-3802
Phone (831) 426-1050

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Oct 1, 2021 Accepting new patients
Scott P Daly Santa Cruz Optometric Optometrist Past Accepting new patients
J Pietrantonio OD Inc Optometrist PastSince Jan 1, 2005 Accepting new patients
Golden Hills Optometry, Inc. Optometrist PastSince Apr 28, 2005 Accepting new patients
Lily H Kim OD a Professional Corporation Optometrist PastSince Jul 27, 2009 Accepting new patients

Locations

338 E Hamilton Ave
Campbell, CA 95008
Phone (408) 866-2020

233 N Santa Cruz Ave
Los Gatos, CA 95030
Phone (408) 354-9310

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

2690 S White Rd
Ste 255
San Jose, CA 95148
Phone (408) 274-9090

3021 Meridian Ave
San Jose, CA 95124
Phone (408) 979-1928

2366 El Camino Real
Ste 5
Santa Clara, CA 95050
Phone (408) 246-5858

904 Cedar St
Santa Cruz, CA 95060
Phone (408) 426-1050

Organizations & group practices 5

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": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1215223466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 E HAMILTON AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080207",
            "telephone_number": "408-866-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 E HAMILTON AVE",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080207",
            "telephone_number": "408-866-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ALBERT",
        "middle_name": "TAILON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.