Wellington Chang, M.D., LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

0101248654 Issued in VA

Legal business name

WELLINGTON CHANG, M.D., LLC

Practice address

10721 Main St
Ste 3200
Fairfax, VA 22030-6914

Phone

(703) 951-3930

Fax

(888) 598-1729

NPI assigned

Jun 3, 2011

Last updated

Feb 27, 2014By 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

Wellington Chang, MDNPI 1174780431

Title

Owner

Phone

(703) 951-3930

Specialties & licenses 1

Addresses

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.

• Wellington H. Chang, M.D.

  • Ophthalmology Physician
  • Fairfax, VA
  • NPI 1174780431
  Authorized official Same address or phone

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1417241746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST",
            "address_2": "STE 3200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306914",
            "telephone_number": "703-951-3930",
            "fax_number": "888-598-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST",
            "address_2": "STE 3200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306914",
            "telephone_number": "703-951-3930",
            "fax_number": "888-598-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON CHANG, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-03",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "WELLINGTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-951-3930",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101248654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.