NPIMap

Organization Active NPI

CHI Chang OD, Inc.

  • Optometrist
  • Monroe, WA
National Provider Identifier
1821110883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3812TX Issued in WA
Legal business name
CHI CHANG OD, INC.
Practice address
18805 State Route 2 Ste a
Monroe, WA 98272-1438
Phone
(360) 805-9323
Fax
(360) 805-0467
NPI assigned
Apr 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. CHI Chang, ODNPI 1740316041
Title
President
Phone
(206) 769-1918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3812TX WA Primary

Addresses

Primary practice location

18805 State Route 2 Ste a
Monroe, WA 98272-1438

Mailing address

3507 149TH PL SE
Snohomish, WA 98296-6984
Phone (206) 769-1918

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821110883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3507 149TH PL SE",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982966984",
            "telephone_number": "206-769-1918",
            "fax_number": "360-805-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18805 STATE ROUTE 2 STE A",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721438",
            "telephone_number": "360-805-9323",
            "fax_number": "360-805-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHI CHANG OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "CHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-769-1918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3812TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.