Kong L. Chang, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2355 Issued in OK

Practice address

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

Phone

(405) 840-5664

Fax

(405) 840-5663

NPI assigned

May 30, 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

Medicare fee-for-service enrollment

Enrolled in OK

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

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Kong L Chang Optometrist PLLC

  • Optometrist
  • Oklahoma City, OK
  • NPI 1487879227
  Medicare reassignment Authorized official
• Cockrell Eyecare Center

  • Optometrist
  • Pawnee, OK
  • NPI 1225158314
  NPD (past)
• Cockrell Eyecare Center PLLC

  • Optometrist
  • Stillwater, OK
  • NPI 1306978044
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208649600000",
    "number": "1669429809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 N MAY AVE",
            "address_2": "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",
            "address_2": "STE. 110B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731123947",
            "telephone_number": "405-840-5664",
            "fax_number": "405-840-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "KONG",
        "middle_name": "L.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2008-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Frances Chaney, MS, LPC
• Quentin Jamelle Chaney, BA
• Euna K Chang, DDS
• Jason Wayne Chang, DDS
• Joshua Chang, DO
• Change Associates
• Changing Times
• David Henri Chansolme, MD
• Ou-Kham Chansombath, OTA
• Alicia Ablola Chaparro, RN

• 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; 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.