Individual provider Active NPI

Millie Chang, O.D.

  • Optometrist
  • Fulton, MD
National Provider Identifier
1285048629
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002342 Issued in VA
Practice address
8160 Maple Lawn Blvd
Suite 140
Fulton, MD 20759-2615
Phone
(301) 490-3036
NPI assigned
Jun 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2425 MD
Optometrist 152W00000X 0618002342 VA Primary

Addresses

Primary practice location

8160 Maple Lawn Blvd
Suite 140
Fulton, MD 20759-2615

Mailing address

8160 Maple Lawn Blvd
Suite 140
Fulton, MD 20759-2615
Phone (301) 490-3036

Other practice location 1

600 N Wolfe St
Baltimore, MD 21287-0005
Phone (410) 955-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140908002270 DC Practitioner - Optometry 3577782408 Reassigns benefits to 1 organization
I20141201001307 VA Practitioner - Optometry 3577782408
I20160311000638 MD Practitioner - Optometry 3577782408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johns Hopkins UniversityGroup PAC ID 1052223229, 196 clinicians

Practice addresses (Care Compare)

6430 Rockledge Dr
Bethesda, MD 20817-1805
Phone (240) 482-1100

8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-3939

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Apr 1, 2019 Accepting new patients
Johns Hopkins University Optometrist CurrentSince Dec 8, 2019 Accepting new patients
Johns Hopkins University Current Accepting new patients
First Sight Vision Care LLC CurrentSince Feb 2, 2016 Accepting new patients
Johns Hopkins University Optometrist Current Accepting new patients
Sonny Goel MD LLC Past Accepting new patients

Locations

600 N Wolfe St
Baltimore, MD 21287

8600 Old Georgetown Rd
Bethesda, MD 20814
Phone (301) 896-2578

8115 Maple Lawn Blvd
Ste 135
Fulton, MD 20759
Phone (301) 490-3036

8160 Maple Lawn Blvd
Ste 140
Fulton, MD 20759
Phone (301) 490-3036

10751 Falls Rd
Timonium, MD 21093
Phone (410) 583-2727

Interoperability endpoints

  • Direct secure messaging: msobota517203@direct.hopkinsmedicine.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1285048629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8160 MAPLE LAWN BLVD",
            "address_2": "SUITE 140",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592615",
            "telephone_number": "301-490-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 MAPLE LAWN BLVD",
            "address_2": "SUITE 140",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592615",
            "telephone_number": "301-490-3036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Wolfe St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870005",
            "country_code": "US",
            "telephone_number": "410-955-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "MILLIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-13",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2425",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MD

Sources for this page

Verify at the official NPI Registry.