Julie S Park-Chang, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

401 Issued in NV

Practice address

4388 E Craig Rd Ste 150
Las Vegas, NV 89115-1962

Phone

(702) 643-9191

Fax

(702) 643-8191

NPI assigned

Feb 8, 2007

Last updated

Jul 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Julie Chang, O D, Inc

  dba Vegas Vision

  • Optometrist
  • Las Vegas, NV
  • NPI 1811171283
  Medicare reassignment NPD Authorized official
• Eyedocs Care LLC

  • Optometrist
  • Las Vegas, NV
  • NPI 1619493178
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468972800000",
    "number": "1417097171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4388 E CRAIG RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891151962",
            "telephone_number": "702-643-9191",
            "fax_number": "702-643-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4388 E CRAIG RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891151962",
            "telephone_number": "702-643-9191",
            "fax_number": "702-643-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK-CHANG",
        "first_name": "JULIE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2016-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Parish
• Thomas Parisi, M.D.
• Park Family Eyecare 2 (Eleven Optometry)
• Park Family Eyecare Inc.
• Park Psychiatry PLLC
• Allen Park, PA-C
• Anne Park, FNP
• Bo Park, OTD
• Bu Soon Park
• Chan Jerome Park, MD, PHD

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.