Gwendolyn Yee Chang, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT35282-TLG Issued in CA

Practice address

16388 Colima Rd Ste 101
Hacienda Heights, CA 91745-5523

Phone

(626) 854-1131

NPI assigned

Sep 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Doctor Gwendolyn Yee Chang Optometry, a Professional Corporation

  • Optometrist
  • Los Angeles, CA
  • NPI 1396460531
  Medicare reassignment NPD Authorized official
• Doctor Bogard Chang Optometry Inc

  • Optometrist
  • Los Angeles, CA
  • NPI 1679881106
  NPD (past)

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1861114183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16388 COLIMA RD STE 101",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917455523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16388 COLIMA RD STE 101",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917455523",
            "telephone_number": "626-854-1131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1711 W Temple St Ste 7135",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900267336",
            "country_code": "US",
            "telephone_number": "213-413-8213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 University Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925074428",
            "country_code": "US",
            "telephone_number": "951-682-8190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "GWENDOLYN",
        "middle_name": "YEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35282-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Carol Mar Chan, PA-C
• Paul Jimmy Chan, DDS
• Alex Chang
• Chun Chun Chang, L.AC
• George Chiao-Tung Chang
• Wei Kuo Chang, LAC.
• Elaine Lynn Chao, MS, CPNP
• Shihkuang Chao, L.AC.
• Shirley Chao, DDS
• Bokching Chau, L.AC

• Optometrist in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.