Khanh Chang, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001215 Issued in VA

Practice address

617 Potomac Station Dr NE Ste a
Leesburg, VA 20176-1817

Phone

(703) 669-4646

Fax

(703) 669-9322

NPI assigned

Mar 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Joanna Barnett & Associates Inc

  • Optometrist
  • Sterling, VA
  • NPI 1003587072
  Medicare reassignment NPD
• Dulles Optometry, LLC

  dba My Eye Dr

  • Optometrist
  • Sterling, VA
  • NPI 1699956136
  Medicare reassignment NPD
• Eye Care Center of Leesburg

  • Optometrist
  • Leesburg, VA
  • NPI 1588746226
  Medicare reassignment NPD
• Myeyedr Optometry of Virginia PLLC

  dba MyEyeDr

  • Optometrist
  • Ashburn, VA
  • NPI 1174933691
  Medicare reassignment NPD
• New Era Eyecare LLC

  • Point of Service
  • Clifton, VA
  • NPI 1801108576

  DC

  Medicare reassignment NPD
• Daniel Poth, O.D. and Associates, P.C.

  dba Visionworks Doctors of Optometry

  • Optometrist
  • Vienna, VA
  • NPI 1154354041

  DC

  Medicare reassignment
• Myeyedr Optometry of Virginia, PLLC

  dba MyEyeDr.

  • Optometrist
  • Leesburg, VA
  • NPI 1144678988
  NPD
• Myeyedr Optometry of Virginia, PLLC

  • Optometrist
  • North Chesterfield, VA
  • NPI 1932075983
  NPD
• Eye Specialists and Surgeons of Northern Virginia, LLC

  • Ophthalmology Physician
  • Fairfax, VA
  • NPI 1275904674
  NPD (past)
• New Era Eyecare, LLC

  dba New Era Eyecare Optometrist

  • Optometrist
  • Sterling, VA
  • NPI 1518361534
  NPD (past)

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1245401108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 POTOMAC STATION DR NE STE A",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761817",
            "telephone_number": "703-669-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 POTOMAC STATION DR NE STE A",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761817",
            "telephone_number": "703-669-4646",
            "fax_number": "703-669-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "KHANH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA 1768",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louise J Chamberlain, M.D.
• David Chan
• Sandhya Chanda, MD
• Katie Chandler, LCSW
• Brian Byung Chang, D.M.D.
• Phillip Jingo Chang, M.D.
• Jessica Channell, MT-BC
• Barbara Burnside Chapman, M.A., L.P.C.
• Jonathan David Charen, MD
• Dahlia Charles, M.D.,

• Optometrist in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.