Changmin Duan OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OA05333 Issued in NJ

Legal business name

CHANGMIN DUAN OD PA

Practice address

223 State Route 18 Ste 107
East Brunswick, NJ 08816-1913

Phone

(732) 247-2847

Fax

(732) 246-2650

NPI assigned

Jan 19, 2007

Last updated

Mar 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Changmin Duan, O.D.NPI 1295702264

Title

Owner

Phone

(732) 247-2847

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Tax ID family

Changmin Duan OD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Changmin Duan OD PA

  dba Dr. Duan and Associates Eye Care

  • Optometrist
  • East Brunswick, NJ
  • NPI 1538997598
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Changmin Duan, O.D.

  • Optometrist
  • East Brunswick, NJ
  • NPI 1295702264
  Medicare reassignment Authorized official
• Qiong Chen, OD

  • Optometrist
  • East Brunswick, NJ
  • NPI 1104336957
  Medicare reassignment
• Kelvin Win, OD

  • Optometrist
  • East Brunswick, NJ
  • NPI 1437477486
  Medicare reassignment
• Xiaoyin Sun, O.D.

  • Optometrist
  • Plainsboro, NJ
  • NPI 1790098705
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1265585426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 STATE ROUTE 18",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161407",
            "telephone_number": "732-247-2847",
            "fax_number": "732-246-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 STATE ROUTE 18 STE 107",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161913",
            "telephone_number": "732-247-2847",
            "fax_number": "732-246-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGMIN DUAN OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "DUAN",
        "authorized_official_first_name": "CHANGMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-247-2847",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA05333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman J Chaleff, LSW
• Monika Chan, D.M.D.
• Ram Chandra, MD, MRCP(UK)
• James H Chang, L.A.C
• Xiaowen Chang, BCBA, LABA
• Changmin Duan OD PA (Dr. Duan and Associates Eye Care)
• Magarette Charles, LPC, LCADC
• Tameka N Chatman, LCADC
• Anindita Chatterjeebhaumik, MSW, LSW
• Rita B. Chaudhary, P.T.

• Optometrist in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.