Individual provider Active NPI

Chia-Wen Annie Chang, M.D.

  • Ophthalmology Physician
  • Visalia, CA
National Provider Identifier
1417210451
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A142555 Issued in CA
Practice address
5021 W Noble Ave
Ste a
Visalia, CA 93277-8310
Phone
(559) 627-9393
Fax
(559) 627-1624
NPI assigned
Jun 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A142555 CA Primary

Addresses

Primary practice location

5021 W Noble Ave
Ste a
Visalia, CA 93277-8310

Mailing address

5021 W Noble Ave
Ste a
Visalia, CA 93277-8310
Phone (559) 627-9393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160727002544 CA Practitioner - Ophthalmology 6204070030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Wisconsin, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgical and Medical Associates, Inc.Group PAC ID 3072400431, 6 clinicians

Practice addresses (Care Compare)

5021 W Noble Ave
Suite a
Visalia, CA 93277-8310
Phone (559) 627-9393

Merit-based Incentive Payment System (MIPS)

Final score
86.78 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
48.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A142555CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgical & Medical Associates, Inc. Ophthalmology CurrentSince Sep 6, 2016 Accepting new patients
County of Tulare Current Accepting new patients
County of Tulare CurrentSince Jan 7, 2017 Accepting new patients
County of Tulare CurrentSince Jan 7, 2017 Accepting new patients
Kaweah Delta Health Care District PastSince Sep 6, 2016 Accepting new patients

Locations

2611 N Dinuba Blvd
Visalia, CA 93291
Phone (559) 623-0700

5957 S Mooney Blvd
Visalia, CA 93277
Phone (559) 624-8000

5021 W Noble Ave
Ste A
Visalia, CA 93277
Phone (559) 627-9393

Organizations & group practices 5

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1417210451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 W NOBLE AVE",
            "address_2": "STE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778310",
            "telephone_number": "559-627-9393",
            "fax_number": "559-627-1624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 W NOBLE AVE",
            "address_2": "STE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778310",
            "telephone_number": "559-627-9393",
            "fax_number": "559-627-1624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "CHIA-WEN",
        "middle_name": "ANNIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A142555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.