Tina Ting-Li Chang, O.D., M.S.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV007274 Issued in NY

Practice address

596 Boar Cir
Fremont, CA 94539-6042

Phone

(510) 579-6365

NPI assigned

Jul 17, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crest Optometry, IncGroup PAC ID 8426219767, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Crest Optometry, Inc

  • Optometrist
  • San Jose, CA
  • NPI 1366739195
  Medicare reassignment Care Compare group NPD
• Luxottica of America Inc.

  dba Lenscrafters #611

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1366598120
  NPD (past)
• Tom Sowash OD & Associates PC

  dba Visionworks

  • Optometrist
  • Chandler, AZ
  • NPI 1174627202
  NPD (past)
• Visionworks Inc

  dba Visionworks

  • Eyewear Supplier
  • Gilbert, AZ
  • NPI 1306099643
  NPD (past)

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1427212497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 BOAR CIR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945396042",
            "telephone_number": "510-579-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 BOAR CIR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945396042",
            "telephone_number": "510-579-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "TINA",
        "middle_name": "TING-LI",
        "name_prefix": "Dr.",
        "credential": "O.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-17",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007274",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "OPT 13689 TPA",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "AZ",
            "license": "1645",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF SPECIAL QUALIFICATION",
            "identifier": "P982A",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Huei-Ling Chang, D.D.S.
• Iris Chang, PHARMD
• Jeanne Christine Chang, O.D.
• Jonathan Duk Gen Chang, D.M.D.
• Kirk K Chang, M.A., BCBA
• Yih Chang, M.D.
• Yu-Ming Chang, M.D., PH.D.
• Pavithra Keragod Channegowda, DDS
• Lauren E Chantigian
• Bryan Chao, DDS

• Optometrist in Fremont, CA
• Providers in Fremont, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.