Individual provider Active NPI

Wiselie Chang, OD

  • Optometrist
  • Irvine, CA
National Provider Identifier
1811617574
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35235 Issued in CA
Practice address
857 Spectrum Center Dr
Irvine, CA 92618-4959
Phone
(855) 550-0743
Fax
(877) 277-6340
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35235 CA Primary

Addresses

Primary practice location

857 Spectrum Center Dr
Irvine, CA 92618-4959

Mailing address

18391 Carnaby LN
Huntington Beach, CA 92648-1407
Phone (714) 333-7432

Other practice location 1

2800 N Main St Unit 104
Santa Ana, CA 92705-6616
Phone (714) 547-8194

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125003604 CA Practitioner - Optometry 8325573538 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35235CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jane H. Liang O.D. Inc Optometrist CurrentSince Nov 12, 2024 Accepting new patients
Dr. Jane H Liang OD Inc. Optometrist CurrentSince Nov 12, 2024 Accepting new patients
Warby Parker Inc. PastSince Jun 8, 2025 Accepting new patients

Locations

2115 S Hacienda Blvd
Hacienda Heights, CA 91745
Phone (626) 330-4115

18052 Culver Dr
Irvine, CA 92612
Phone (949) 502-0123

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1811617574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18391 CARNABY LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481407",
            "telephone_number": "714-333-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 SPECTRUM CENTER DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184959",
            "telephone_number": "855-550-0743",
            "fax_number": "877-277-6340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 N Main St Unit 104",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927056616",
            "country_code": "US",
            "telephone_number": "714-547-8194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "WISELIE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.