William Chang OD, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

13713 Issued in CA

Legal business name

WILLIAM CHANG OD, INC

Practice address

417 S San Gabriel Blvd
Suite B
San Gabriel, CA 91776-1967

Phone

(626) 291-2020

Fax

(626) 585-2905

NPI assigned

Dec 7, 2009

Organization subpart

No

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

Authorized official

Name

Dr. William Chang, ODNPI 1629206834

Title

Owner

Phone

(626) 291-2020

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Chang, OD

  • Optometrist
  • San Gabriel, CA
  • NPI 1629206834
  Medicare reassignment NPD Authorized official
• Alice Lee, O.D.

  • Optometrist
  • San Gabriel, CA
  • NPI 1992107551
  Medicare reassignment NPD
• Joy Jeng Kao, OD

  • Optometrist
  • Rosemead, CA
  • NPI 1134471964
  NPD

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1255669057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 S SAN GABRIEL BLVD",
            "address_2": "SUITE B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761967",
            "telephone_number": "626-291-2020",
            "fax_number": "626-585-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S SAN GABRIEL BLVD",
            "address_2": "SUITE B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761967",
            "telephone_number": "626-291-2020",
            "fax_number": "626-585-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM CHANG OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-291-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CR713Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255669057",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Menghsuan Wen
• Wencheng Jen M.D. Inc
• Amy Hsieh West, D.D.S.
• Katherine Y. Chen Whang, PA-C
• David Widom, LCSW
• William Weng-Ping Ko, M.D. a Professional Corp
• Arthur H Williams, MD
• Natalie Michaela Wilson
• Shiela Wolford
• Amy Wong, DDS

• Optometrist in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.