Organization Active NPI

CHI Chang Optometry

  • Optometrist
  • Anaheim, CA
National Provider Identifier
1588098776
Registry record updated Aug 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14376 Issued in CA
Legal business name
CHI CHANG OPTOMETRY
Practice address
1609 S Varna St
Anaheim, CA 92804-6128
Phone
(206) 769-1918
NPI assigned
Aug 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2013

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

Authorized official

Name
Dr. CHI Chang, O.D.NPI 1740316041
Title
Owner
Phone
(206) 769-1918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 14376 CA Primary

Addresses

Primary practice location

1609 S Varna St
Anaheim, CA 92804-6128

Mailing address

1609 S Varna St
Anaheim, CA 92804

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1377388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377388800000",
    "number": "1588098776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 S VARNA ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 S VARNA ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046128",
            "telephone_number": "206-769-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHI CHANG OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-25",
        "last_updated": "2013-08-25",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "CHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-769-1918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.