Change I Wear Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV007517 Issued in NY

Legal business name

CHANGE I WEAR INC

Practice address

1755 Crosby Ave
2J
Bronx, NY 10461-4901

Phone

(917) 708-9300

Fax

(347) 398-5082

NPI assigned

Feb 20, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Albert Plishtiyev

Title

Owner

Phone

(917) 708-9300

Specialties & licenses 1

Addresses

Other names 1

• Change iWear Doing business as

Locations

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

{
    "created_epoch": "1455926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455926400000",
    "number": "1780043612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 CROSBY AVE",
            "address_2": "2J",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614901",
            "telephone_number": "917-708-9300",
            "fax_number": "347-398-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 CROSBY AVE",
            "address_2": "2J",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614901",
            "telephone_number": "917-708-9300",
            "fax_number": "347-398-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANGE I WEAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-20",
        "last_updated": "2016-02-20",
        "status": "A",
        "authorized_official_last_name": "PLISHTIYEV",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-708-9300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Change iWear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sujin Chang, PHARM.D.
• Tiffany Chang
• Tylis Y Chang, MD
• Wei Hua Chang, DDS
• Yu-Rei Raymond Chang, MD
• Mira Chanowitz, DPT
• Amy C Chao, RPH
• Clifford Chao, MD
• Edward Chao, MD
• Jennifer Chao, MD

• Optometrist in Bronx, NY
• Providers in Bronx, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2016; 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.