Active NPI
Jennifer Y Chang, O.D.
- Optometrist
- San Jose, CA
National Provider Identifier
1841375227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT9658T
- Practice address
- 2200 Eastridge Loop
Ste 1078
San Jose, CA 95122-1410 - Phone
- (408) 270-6161
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT9658T | CA | Primary |
Addresses
Primary practice location
2200 Eastridge Loop
Ste 1078
San Jose, CA 95122-1410
Mailing address
18985 Tuggle Ave
Cupertino, CA 95014-3658
Phone (408) 255-7785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT9658T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc. | Past | Accepting new patients |
Organizations & group practices 1
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": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841375227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18985 TUGGLE AVE",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950143658",
"telephone_number": "408-255-7785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 EASTRIDGE LOOP",
"address_2": "STE 1078",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951221410",
"telephone_number": "408-270-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "JENNIFER",
"middle_name": "Y",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT9658T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- 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.