Doctor Bogard Chang Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

11253TPL Issued in CA

Legal business name

DOCTOR BOGARD CHANG OPTOMETRY INC

Practice address

1711 W Temple St FL 7
Los Angeles, CA 90026-5421

Phone

(213) 413-8213

NPI assigned

Sep 17, 2010

Last updated

Oct 1, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bogard Chang, ODNPI 1487752168

Title

Owner

Phone

(213) 413-8213

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bogard Chang, OD

  • Optometrist
  • Los Angeles, CA
  • NPI 1487752168
  Medicare reassignment Authorized official
• Gwendolyn Yee Chang, OD

  • Optometrist
  • Hacienda Heights, CA
  • NPI 1861114183
  NPD (past)
• Dominic Patawaran, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1902873342
  NPD (past)

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1679881106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST STE 7136",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900267336",
            "telephone_number": "213-413-8213",
            "fax_number": "213-413-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 W TEMPLE ST FL 7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265421",
            "telephone_number": "213-413-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR BOGARD CHANG OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "BOGARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-413-8213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11253TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Doctor Matthews Inc
• Farokh Doctormajdi

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.