Doris Tehkwang Chang, O.D.
Individual provider Active NPI Optometrist · Antioch, CA
NPI 1720120769 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1720120769
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 12522T (CA)
- Practice address
- 4051 Lone Tree Way
Suite E
Antioch, CA 94531-6204 - Phone
- (925) 757-7676
- Fax
- (925) 757-0652
- NPI assigned
- Feb 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12522T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eileen M Linder Optometrist Inc | Optometrist | Past |
Accepting new patients |
| Dr. Melanie N. Feliciano - Optometry Inc. | Optometrist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12522T | CA | Yes |
Addresses
Primary practice location
4051 Lone Tree Way
Suite E
Antioch, CA 94531-6204
Mailing address
4051 Lone Tree Way
Suite E
Antioch, CA 94531-6204
Phone (925) 757-7676
Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.