Individual provider Active NPI

Erica Wingchuk-Pun Chiang, O.D

  • Optometrist
  • Austin, TX
National Provider Identifier
1942546676
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6976TG Issued in TX
Practice address
1030 Norwood Park Blvd Ste a
Austin, TX 78753-6606
Phone
(512) 491-9797
Fax
(512) 491-9735
NPI assigned
Dec 28, 2012
Last updated
Dec 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6976TG TX Primary

Addresses

Primary practice location

1030 Norwood Park Blvd Ste a
Austin, TX 78753-6606

Mailing address

1030 Norwood Park Blvd Ste a
Austin, TX 78753-6606
Phone (512) 491-9797

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20130806000436 TX Practitioner - Optometry 6800038738 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6976TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Family Vision Optometrist CurrentSince May 15, 2013 Accepting new patients

Locations

1030 Norwood Park Blvd
Ste A
Austin, TX 78753
Phone (512) 491-9707

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1942546676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 NORWOOD PARK BLVD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787536606",
            "telephone_number": "512-491-9797",
            "fax_number": "512-491-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 NORWOOD PARK BLVD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787536606",
            "telephone_number": "512-491-9797",
            "fax_number": "512-491-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "ERICA",
        "middle_name": "WINGCHUK-PUN",
        "name_prefix": "Mrs.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6976TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.