Active NPI
Romeo K Chang, MD
- Ophthalmology Physician
- Boston, MA
National Provider Identifier
1508856600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 48274
- Practice address
- 464 Hillside Ave
Boston Eye Associates PC
Boston, MA 02494 - Phone
- (781) 726-7333
- Fax
- (781) 726-7310
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 48274 | MA | Primary |
Addresses
Primary practice location
464 Hillside Ave
Boston Eye Associates PC
Boston, MA 02494
Mailing address
464 Hillside Ave
Suite 205
Needham, MA 02494-1227
Phone (781) 726-7333
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042874 | Other | MA | TUFTS HEALTH PLAN |
| J03515 | Other | MA | BCBS MA |
| 6178081 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1508856600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 HILLSIDE AVE",
"address_2": "SUITE 205",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024941227",
"telephone_number": "781-726-7333",
"fax_number": "781-726-7311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 HILLSIDE AVE",
"address_2": "BOSTON EYE ASSOCIATES PC",
"city": "BOSTON",
"state": "MA",
"postal_code": "02494",
"telephone_number": "781-726-7333",
"fax_number": "781-726-7310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "ROMEO",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "48274",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "042874",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MA",
"identifier": "J03515",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6178081",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.