Tiffany W. Chang, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TPL 13471 Issued in CA

Practice address

10430 S de Anza Blvd
Suite 100
Cupertino, CA 95014-3098

Phone

(408) 865-0440

Fax

(408) 865-0411

NPI assigned

Jun 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Silicon Valley Eyecare Optometry and Contact Lenses

  • Optometrist
  • Santa Clara, CA
  • NPI 1477509560
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1336176080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10430 S DE ANZA BLVD",
            "address_2": "SUITE 100",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143098",
            "telephone_number": "408-865-0440",
            "fax_number": "408-865-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10430 S DE ANZA BLVD",
            "address_2": "SUITE 100",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143098",
            "telephone_number": "408-865-0440",
            "fax_number": "408-865-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "TIFFANY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4549",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "TPL 13471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "CK662Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Ten Roen Chang, PHARM.D.
• Leo Yuwei Chang, DDS
• Ming-Feng Chang, D.D.S.
• Sheng Yung Chang, L.AC
• Shih Yu Chang
• Yi Shou Chang, LAC
• Chanwell Medical Group, Inc.
• Sio Nga Chao, OTR/L, CPAM
• Yuan Ju Chao
• Megan Kathryn Chatterji, MFT

• Optometrist in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.