CHI Chang OD, Inc.

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

Organization subpart

No

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

Authorized official

Name

Dr. CHI Chang, OD

Title

President

Phone

(206) 769-1918

Specialties & licenses 1

Addresses

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": []
}

• Chan W Han DMD PS
• Alisa Chard, FNP
• Irene V Chasen
• Lindsey Lee Chatfield, MS
• Jonathan Emerson Cheng, MD
• Michael Henry Childers, LMHC, CMHS
• Yunki Cho, D.D.S.
• Shirley Wing-Ting Chong, PHARM.D
• Jessica Christlieb, CNA
• Stephanie Chu, PHARMD

• Optometrist in Monroe, WA
• Providers in Monroe, WA by specialty
• Optometrist in Washington

• 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.