NPIMap

Organization Active NPI

Amy Chang OD PLLC

Doing business as Niwot Eyecare and Vision Therapy

  • Optometrist
  • Niwot, CO
National Provider Identifier
1720679558
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AMY CHANG OD PLLC
Doing business as
Niwot Eyecare and Vision Therapy
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
Last updated
Feb 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Dr. Amy Chang, ODNPI 1477865350
Title
Owner
Phone
(303) 652-0505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

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

Mailing address

6800 N 79TH St Ste 101
Niwot, CO 80503-8978
Phone (303) 652-0505

Other names 1

  • Niwot Eyecare and Vision Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

6800 N 79th St
Ste 101
Niwot, CO 80503
Phone (303) 652-0505

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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"
        }
    ]
}

Other providers in Niwot, CO

Sources for this page

  • 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.