Eric Chang, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD 60035981 Issued in WA

Practice address

22530 SE 64TH PL Ste 140
Issaquah, WA 98027-5353

Phone

(425) 392-2020

NPI assigned

Sep 16, 2008

Last updated

Sep 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Eric Liu Former name

Medicare fee-for-service enrollment

Enrolled in WA

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

University of California - School of Optometry, 2008

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.

• Global Eyecare

  dba Issaquah Optometric Center

  • Optometrist
  • Bellevue, WA
  • NPI 1366858417
  Medicare reassignment NPD Authorized official
• Mark J Jensen OD PS

  • Optometrist
  • Issaquah, WA
  • NPI 1891935177
  NPD (past)

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1427207216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5702 145TH AVE. SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980153083",
            "telephone_number": "206-265-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22530 SE 64TH PL STE 140",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275353",
            "telephone_number": "425-392-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-16",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD 60035981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "LIU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristin F. Cernak, DPT
• Shanna Chaffee, LMT
• Brenda Chalemba, CNA
• Hope Elle Chamberlin, LMT
• Lee Ha Chan, M.D.
• Morris B Chang, M.D.
• Thanh T Chang, RPH
• Wilson Joon Chang, MD
• Kayla Chapman
• Kayla Chapman, PA-C

• Optometrist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.