Individual provider Active NPI

Ann Chang, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1366579567
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
006147 Issued in NY
Practice address
128 W 13TH St
New York, NY 10011-7854
Phone
(212) 255-2240
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 006147 NY Primary

Addresses

Primary practice location

128 W 13TH St
New York, NY 10011-7854

Mailing address

128 W 13TH St
New York, NY 10011-7854
Phone (212) 255-2240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100603000751 NY Practitioner - Optometry 9234268087 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

218 2ND Ave
Suite 401
New York, NY 10003-5817
Phone (212) 255-2240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006147NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clearvue Eye Care Optometrist CurrentSince May 1, 2021 Accepting new patients
The Eye Center Past Accepting new patients
Quarry Road Emergency Services P.C. Past Accepting new patients

Locations

218 2nd Ave
Ste 401
New York, NY 10003
Phone (212) 255-2240

Interoperability endpoints

  • Direct secure messaging: ann.chang.1@18107.direct.athenahealth.com

Organizations & group practices 3

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1366579567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 W 13TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117854",
            "telephone_number": "212-255-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W 13TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100117854",
            "telephone_number": "212-255-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ANN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.