Amos Chang, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

006298 VUT Issued in NY

Practice address

9015 Queens Blvd
Suite # 2111
Elmhurst, NY 11373-4900

Phone

(718) 699-2879

Fax

(718) 699-2749

NPI assigned

Sep 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790878114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 QUEENS BLVD",
            "address_2": "SUITE # 2111",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734900",
            "telephone_number": "718-699-2879",
            "fax_number": "718-699-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 QUEENS BLVD",
            "address_2": "SUITE # 2111",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734900",
            "telephone_number": "718-699-2879",
            "fax_number": "718-699-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "AMOS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "006298 VUT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Chan, M.D.
• Rachel Chan, PA-C
• Stella Chan, DDS
• Tyler Chan
• Lalita Rakesh Chandra, M.A PSYCHOLOGY
• Anthony Chang, MD
• Benjamin Minsoo Chang, M.D.
• Ching-Hung Chang, M.D.
• Choi Kam Chang, RPH
• Christina Chang, M.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.