Christine M Chang OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

11110T Issued in CA

Legal business name

CHRISTINE M CHANG OD INC

Practice address

2359 S Azusa Ave
West Covina, CA 91792

Phone

(626) 913-2244

Fax

(626) 913-6204

NPI assigned

Oct 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine M Chang, ODNPI 1407860885

Title

President

Phone

(626) 913-2244

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine M. Chang, O.D.

  • Optometrist
  • West Covina, CA
  • NPI 1407860885
  Medicare reassignment NPD Authorized official
• Connie C Liu, O.D.

  • Optometrist
  • La Verne, CA
  • NPI 1396859476
  Medicare reassignment NPD

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356430490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2359 S AZUSA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91792",
            "telephone_number": "626-913-2244",
            "fax_number": "626-913-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 S AZUSA AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91792",
            "telephone_number": "626-913-2244",
            "fax_number": "626-913-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE M CHANG OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-913-2244",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11110T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD011110T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oi Yee Chow, RD
• Pi-Lieh P. Chow, M.D.
• Stephen Chow
• Vernon Chow
• Chris Chen DDS Inc
• Andrew C Chu, PA-C
• Bonnie Chu
• Richard H Chu, MD
• Fu-Cheng Chuang, M.D.
• Gayana Chuklansev, FNP

• Optometrist in West Covina, CA
• Providers in West Covina, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.