Doctor Gwendolyn Yee Chang Optometry, a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DOCTOR GWENDOLYN YEE CHANG OPTOMETRY, A PROFESSIONAL CORPORATION

Doing business as

ClearSight Optometry

Practice address

1925 W Temple St
Los Angeles, CA 90026-4970

Phone

(213) 277-1154

NPI assigned

Oct 10, 2022

Last updated

Jun 20, 2023By 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

Dr. Gwendolyn Chang, ODNPI 1861114183

Title

Ceo

Phone

(626) 632-8034

Specialties & licenses 1

Addresses

Other names 1

• ClearSight Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

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, and the practitioner matching its NPPES authorized official.

• Gwendolyn Yee Chang, OD

  • Optometrist
  • Hacienda Heights, CA
  • NPI 1861114183
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1396460531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16388 COLIMA RD STE 101",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917455523",
            "telephone_number": "626-854-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W TEMPLE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264970",
            "telephone_number": "213-277-1154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16388 Colima Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Hacienda Heights",
            "state": "CA",
            "postal_code": "917455523",
            "country_code": "US",
            "telephone_number": "626-854-1131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOCTOR GWENDOLYN YEE CHANG OPTOMETRY, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-632-8034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ClearSight Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ClearSight Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.