Bogard Chang, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

11253TPL Issued in CA

Practice address

1711 W Temple St FL 7
Los Angeles, CA 90026-5421

Phone

(213) 413-8213

Fax

(213) 413-2879

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Southern California College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South la Eye ClinicGroup PAC ID 6103347596, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: bogard.chang.1@23613.direct.athenahealth.com

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.

• South la Eye Clinic

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1710706874
  Medicare reassignment Care Compare group NPD
• Doctor Bogard Chang Optometry Inc

  • Optometrist
  • Los Angeles, CA
  • NPI 1679881106
  Medicare reassignment Authorized official
• Doctor Gwendolyn Yee Chang Optometry, a Professional Corporation

  • Optometrist
  • Los Angeles, CA
  • NPI 1396460531
  NPD (past)
• Dwight H. Smith, M.D., Inc

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1942338876
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1487752168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 W EAST CREST WAY",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917543719",
            "telephone_number": "626-284-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST FL 7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-413-8213",
            "fax_number": "213-413-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "BOGARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11253TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0112531",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Chang
• Andrew Yang Chang
• Andy Yu-How Chang
• Angela Nicole Chang, M.A., BCBA, LBA
• Annie Ting-Yu Chang, PHARMD
• Bolin L Chang, MD
• Bong S Chang, M.D.
• Brandon Yun-Yaur Chang, PHARMD, BCPS
• Brian Chang
• Cecy Chung Chang, RN

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.