Pacific Oculofacial Plastic Surgery PLLC

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X

Legal business name

PACIFIC OCULOFACIAL PLASTIC SURGERY PLLC

Practice address

1837 156TH Ave NE Ste A201
Bellevue, WA 98007-4387

Phone

(425) 522-2899

NPI assigned

Sep 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Shu-Hong Chang, MDNPI 1346321957

Title

Physician Owner

Phone

(314) 922-6613

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shu-Hong Chang, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Seattle, WA
  • NPI 1346321957
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505260800000",
    "number": "1336668128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 174TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980083821",
            "telephone_number": "314-922-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 156TH AVE NE STE A201",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074387",
            "telephone_number": "425-522-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC OCULOFACIAL PLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SHU-HONG",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "314-922-6613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pacifica Behavioral Health
• Wendy Pacifici, LCSW

• Ophthalmic Plastic and Reconstructive Surgery Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Ophthalmic Plastic and Reconstructive Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; 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.