Active NPI
Matty Chang, O.D.
- Optometrist
- Orange, CA
National Provider Identifier
1770502296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12280T
- Practice address
- 311 N Tustin St Ste B
Orange, CA 92867-7776 - Phone
- (714) 997-7500
- Fax
- (714) 997-4864
- NPI assigned
- Jul 18, 2006
- Last updated
- Aug 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12280T | CA | Primary |
Addresses
Primary practice location
311 N Tustin St Ste B
Orange, CA 92867-7776
Mailing address
311 N Tustin St Ste B
Orange, CA 92867-7776
Phone (714) 997-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
311 N Tustin St
Suite B
Orange, CA 92867-7776
Phone (714) 997-7500
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12280T | CA | MD | Optometrist |
| 12280 | CA | MD | Acupuncturist |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Orange, CA
- NPI 1730558784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440115200000",
"number": "1770502296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 N TUSTIN ST STE B",
"city": "ORANGE",
"state": "CA",
"postal_code": "928677776",
"telephone_number": "714-997-7500",
"fax_number": "714-997-4864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N TUSTIN ST STE B",
"city": "ORANGE",
"state": "CA",
"postal_code": "928677776",
"telephone_number": "714-997-7500",
"fax_number": "714-997-4864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "MATTY",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2015-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12280T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.