Individual provider Active NPI

Vanessa Loo Chang, O.D.

  • Optometrist
  • McAllen, TX
National Provider Identifier
1386869451
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2733T Issued in TX
Practice address
318 W Nolana Ave
McAllen, TX 78504-2528
Phone
(956) 664-0444
Fax
(956) 664-0446
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2733T TX Primary

Addresses

Primary practice location

318 W Nolana Ave
McAllen, TX 78504-2528

Mailing address

318 W Nolana Ave
McAllen, TX 78504-2528
Phone (956) 664-0444

Other identifiers 2

IdentifierTypeStateIssuer
037005801MedicaidTX
2733TOtherTXTX OPTOMETRY LISCENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120531000103 TX Practitioner - Optometry 5496918401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

318 W Nolana Ave
McAllen, TX 78504-2528
Phone (956) 664-0444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2733TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vanessa Loo Chang & Dennis M Chang OD PTR Optometrist CurrentSince Apr 1, 1990 Accepting new patients

Locations

318 W Nolana Ave
McAllen, TX 78504
Phone (512) 686-0527

Organizations & group practices 1

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1386869451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W NOLANA AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042528",
            "telephone_number": "956-664-0444",
            "fax_number": "956-664-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W NOLANA AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042528",
            "telephone_number": "956-664-0444",
            "fax_number": "956-664-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "VANESSA",
        "middle_name": "LOO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2733T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037005801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX OPTOMETRY LISCENSE",
            "identifier": "2733T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.