Julia Chang, OD, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

4569 Issued in MA

Legal business name

JULIA CHANG, OD, PC

Practice address

9 Henshaw St
Brighton, MA 02135-2905

Phone

(617) 903-3538

Fax

(617) 903-3547

NPI assigned

Apr 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Huichu Julia Chang, OD, PHD

Title

President

Phone

(617) 903-3538

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Optimum Vision Care Doing business as

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1326338658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HENSHAW ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352905",
            "telephone_number": "617-903-3538",
            "fax_number": "617-903-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HENSHAW ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352905",
            "telephone_number": "617-903-3538",
            "fax_number": "617-903-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA CHANG, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "HUICHU",
        "authorized_official_middle_name": "JULIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-903-3538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD, PHD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0709077",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimum Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruth Jones
• Alisa Jordan, OTR/L
• Aju Jose
• Tatiana Joseph
• Disha Joshi
• Almamoon I Justaniah, MD
• Sharon Marie Kaden, PA
• Hessa B Kadet, M.D.
• Kaitlyn B. Psychotherapy, LLC
• Ibrahim A Kamel, MD, MHA

• Optometrist in Brighton, MA
• Providers in Brighton, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.