Amy Chang OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

AMY CHANG OD PLLC

Practice address

6800 N 79TH St Ste 101
Niwot, CO 80503-8978

Phone

(303) 652-0505

Fax

(303) 652-0606

NPI assigned

Feb 3, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Amy Chang, OD

Title

Owner

Phone

(303) 652-0505

Specialties & licenses 1

Addresses

Other names 1

• Niwot Eyecare and Vision Therapy Doing business as

Locations

Practitioners 1

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

• Shelley Clark Rachal, OD

  • Vision Therapy Optometrist
  • Niwot, CO
  • NPI 1497371520
  NPD

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

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1720679558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 N 79TH ST STE 101",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805038978",
            "telephone_number": "303-652-0505",
            "fax_number": "303-652-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 N 79TH ST STE 101",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805038978",
            "telephone_number": "303-652-0505",
            "fax_number": "303-652-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY CHANG OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-652-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Niwot Eyecare and Vision Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Niwot Eyecare and Vision Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marna Alexander, PMHNP-BC
• Madelyn Altman, PT, DPT
• Amavi Integrative Mental Wellness LLC
• Alison Elaine Anton, CNE
• Bonnie Bahlmann
• Stephanie Baltz, RN
• Lauren A Barnett, CPM, RM
• David Lance Beadleston, DVM

• Optometrist in Niwot, CO
• Providers in Niwot, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.