Organization Active NPI

Vanessa Loo Chang & Dennis M Chang OD PTR

Doing business as Nolana Eye Care

  • Optometrist
  • McAllen, TX
National Provider Identifier
1770787392
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VANESSA LOO CHANG & DENNIS M CHANG OD PTR
Doing business as
Nolana Eye Care
Practice address
318 W Nolana
McAllen, TX 78504-2528
Phone
(956) 664-0444
Fax
(956) 664-0446
NPI assigned
Jun 14, 2007
Last updated
May 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Dr. Vanessa L Chang, ODNPI 1386869451
Title
Partner
Phone
(956) 664-0444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

318 W Nolana
McAllen, TX 78504-2528

Mailing address

318 W Nolana Ave
McAllen, TX 78504-2528
Phone (956) 664-0444

Other identifiers 1

IdentifierTypeStateIssuer
082259501MedicaidTX

Other names 1

  • Nolana Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120531000083 TX Part B Supplier - Clinic/Group Practice 8123281136 Receives reassigned benefits from 1 practitioner
Practice locations: McAllen, TX

National Provider Directory

National Provider Directory

Locations

2204 S 10th St
McAllen, TX 78503
Phone (956) 630-3122

318 W Nolana Ave
McAllen, TX 78504
Phone (512) 686-0527

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": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1770787392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 W NOLANA AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042528",
            "telephone_number": "956-664-0444",
            "fax_number": "956-664-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 W NOLANA",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042528",
            "telephone_number": "956-664-0444",
            "fax_number": "956-664-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA LOO CHANG & DENNIS M CHANG OD PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "956-664-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082259501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nolana Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.