Kong L Chang Optometrist PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2355 Issued in OK

Legal business name

KONG L CHANG OPTOMETRIST PLLC

Practice address

5801 N May Ave Ste 110B
Oklahoma City, OK 73112-3947

Phone

(405) 840-5664

Fax

(405) 840-5663

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Kong Chang, ODNPI 1669429809

Title

Head Doctor

Phone

(405) 840-5664

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kong L. Chang, OD

  • Optometrist
  • Oklahoma City, OK
  • NPI 1669429809
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1487879227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 N MAY AVE STE 110B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123947",
            "telephone_number": "405-840-5664",
            "fax_number": "405-840-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 N MAY AVE STE 110B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123947",
            "telephone_number": "405-840-5664",
            "fax_number": "405-840-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONG L CHANG OPTOMETRIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "KONG",
        "authorized_official_title_or_position": "HEAD DOCTOR",
        "authorized_official_telephone_number": "405-840-5664",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa De Amber Komahcheet, LADC
• Jacque S Komers
• Sai Subramanyam Kommineni, MD
• Alexandra Grace Konemann, LPMT, MT-BC
• Anusha Koneru
• Kong Wing Lee MD PLLC
• Heather Konichek
• Meredith McKee Koomson, M.D.
• Cameron Kristine Koonce, MFT CANDIDATE
• Jennifer Koonce

• Optometrist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.