Dr Patricia Chang Optometric Group Inc.
Organization Active NPI Optometrist · Millbrae, CA
NPI 1861544975 · NPPES record last updated Mar 18, 2011
Key facts
- NPI
- 1861544975
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 1080 (CA)
- Legal business name
- DR PATRICIA CHANG OPTOMETRIC GROUP INC.
- Practice address
- 305 Broadway
Millbrae, CA 94030-2509 - Phone
- (650) 697-2475
- Fax
- (650) 692-7154
- NPI assigned
- Jan 17, 2007
- Organization subpart
- No
Authorized official
- Name
- Patricia Chang, O.D.
- Title
- President
- Phone
- (650) 697-2475
Practitioners 3
-
Mary Nguyen, O.D.
-
Kai B Shum, O.D.
National Provider Directory
Locations
1019 Alameda de las Pulgas
Belmont, CA 94002
Phone (650) 594-1019
305 Broadway
Millbrae, CA 94030
Phone (415) 589-4130
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 1080 | CA | Yes |
Addresses
Primary practice location
305 Broadway
Millbrae, CA 94030-2509
Mailing address
305 Broadway
Millbrae, CA 94030-2509
Phone (650) 697-2475
Other names
- Carlmont Optometry
Other providers in Millbrae, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.