Active NPI
Teresa Chang, O.D.
- Optometrist
- Los Angeles, CA
National Provider Identifier
1235178773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12236T
- Practice address
- 842 S Broadway
Los Angeles, CA 90014-3202 - Phone
- (213) 627-9771
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12236T | CA | Primary |
Addresses
Primary practice location
842 S Broadway
Los Angeles, CA 90014-3202
Mailing address
842 S. Broadway
Optometric Eye Institute
Los Angeles, CA 90014-3202
Phone (213) 627-9771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12236T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Eye Care Medical Center, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Westminster, CA
- NPI 1346356987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1235178773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "842 S. BROADWAY",
"address_2": "OPTOMETRIC EYE INSTITUTE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900143202",
"telephone_number": "213-627-9771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "842 S BROADWAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900143202",
"telephone_number": "213-627-9771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "TERESA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12236T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.