NPIMap

Organization Active NPI

Cindy Chang OD Inc

  • Optometrist
  • Ontario, CA
National Provider Identifier
1417336082
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12307 Issued in CA
Legal business name
CINDY CHANG OD INC
Practice address
4200 E 4TH St
Ontario, CA 91764-5250
Phone
(909) 579-3040
NPI assigned
May 28, 2015
Last updated
May 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Cindy ChangNPI 1215145065
Title
President
Phone
(425) 256-1563

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12307 CA Primary

Addresses

Primary practice location

4200 E 4TH St
Ontario, CA 91764-5250

Mailing address

3305 Sage St
Tustin, CA 92782-1935
Phone (425) 256-1563

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1417336082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 SAGE ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927821935",
            "telephone_number": "425-256-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 E 4TH ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917645250",
            "telephone_number": "909-579-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINDY CHANG OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-256-1563"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.