Active NPI
Soraya Elizabeth Chang, LDO
- Optician
- Fishkill, NY
National Provider Identifier
1558055657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 7779
- Practice address
- 56 W Merritt Blvd
Fishkill, NY 12524-2243 - Phone
- (845) 896-8741
- Fax
- (845) 896-8783
- NPI assigned
- Jun 5, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 7779 | NY | Primary |
Addresses
Primary practice location
56 W Merritt Blvd
Fishkill, NY 12524-2243
Mailing address
PO Box 1215
Hopewell Junction, NY 12533-1215
Phone (914) 727-2378
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7779 | NY | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693785600000",
"number": "1558055657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1215",
"city": "HOPEWELL JUNCTION",
"state": "NY",
"postal_code": "125331215",
"telephone_number": "914-727-2378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 W MERRITT BLVD",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125242243",
"telephone_number": "845-896-8741",
"fax_number": "845-896-8783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "SORAYA",
"middle_name": "ELIZABETH",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-05",
"last_updated": "2023-09-04",
"certification_date": "2023-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "7779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fishkill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.