Organization Active NPI

Kuei-Yu Chang O.D. Inc., a Professional Corporation

Doing business as Iris Bright Optometry

  • Optometrist
  • Irvine, CA
National Provider Identifier
1861048506
Registry record updated Oct 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KUEI-YU CHANG O.D. INC., A PROFESSIONAL CORPORATION
Doing business as
Iris Bright Optometry
Practice address
8519 Irvine Center Dr
Irvine, CA 92618-4298
Phone
(949) 585-9403
Fax
(949) 585-9162
NPI assigned
Aug 16, 2019
Last updated
Oct 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2024

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

Authorized official

Name
Mr. Khiem Nguyen-Trong
Title
Operations Manager
Phone
(818) 793-9666

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X

Addresses

Primary practice location

8519 Irvine Center Dr
Irvine, CA 92618-4298

Mailing address

8519 Irvine Center Dr
Irvine, CA 92618-4298
Phone (657) 229-0977

Other practice location 1

539 Parkway Plz
El Cajon, CA 92020-2532
Phone (619) 447-8494

Other identifiers 1

IdentifierTypeStateIssuer
15157TLGOtherCAOPTOMETRY LICENSE

Other names 1

  • Iris Bright Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200618001133 CA Part B Supplier - Clinic/Group Practice 1456773555 Receives reassigned benefits from 4 practitioners
Practice locations: El Cajon, CA; Irvine, CA

National Provider Directory

National Provider Directory

Locations

415 Fletcher Pkwy
Ste 539
El Cajon, CA 92020
Phone (619) 441-0138

8519 Irvine Center Dr
Irvine, CA 92618
Phone (949) 585-9403

Practitioners & affiliated clinicians

Practitioners 4

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": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728086400000",
    "number": "1861048506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8519 IRVINE CENTER DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184298",
            "telephone_number": "657-229-0977",
            "fax_number": "949-585-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8519 IRVINE CENTER DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926184298",
            "telephone_number": "949-585-9403",
            "fax_number": "949-585-9162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "539 Parkway Plz",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920202532",
            "country_code": "US",
            "telephone_number": "619-447-8494",
            "fax_number": "619-441-0143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KUEI-YU CHANG O.D. INC., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2024-10-05",
        "certification_date": "2024-10-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN-TRONG",
        "authorized_official_first_name": "KHIEM",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "818-793-9666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "15157TLG",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iris Bright Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Iris Bright Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.