Individual provider Active NPI

Chih-Guang Chuang, O.D.

  • Optometrist
  • Seattle, WA
National Provider Identifier
1275501165
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3550 Issued in WA
Practice address
7101 Martin Luther King Jr Way S
# 209
Seattle, WA 98118-3594
Phone
(206) 722-2218
Fax
(206) 722-2211
NPI assigned
Mar 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3550 WA Primary

Addresses

Primary practice location

7101 Martin Luther King Jr Way S
# 209
Seattle, WA 98118-3594

Mailing address

7101 Martin Luther King Jr Way S
#209
Seattle, WA 98118-3594
Phone (206) 722-2218

Other identifiers 1

IdentifierTypeStateIssuer
2025328MedicaidWA

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

LicenseStateTypeSpecialty
3550WAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1275501165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 MARTIN LUTHER KING JR WAY S",
            "address_2": "#209",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183594",
            "telephone_number": "206-722-2218",
            "fax_number": "206-722-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 MARTIN LUTHER KING JR WAY S",
            "address_2": "# 209",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183594",
            "telephone_number": "206-722-2218",
            "fax_number": "206-722-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUANG",
        "first_name": "CHIH-GUANG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2025328",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.