Eugene Stephan Channing, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TAO967 Issued in MD

Practice address

166 Baughman'S Lane
Channing Vision-Eye Care, Inc.
Frederick, MD 21702-4083

Phone

(301) 663-1177

NPI assigned

Feb 26, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 3

Other names 1

• Dr. Eugene Chang Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Channing Vision Eye Care Inc

  • Optometrist
  • Frederick, MD
  • NPI 1003024795
  NPD (past) Authorized official

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1972825388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 BAUGHMAN'S LANE",
            "address_2": "CHANNING VISION-EYE CARE, INC.",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024083",
            "telephone_number": "301-663-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 BAUGHMAN'S LANE",
            "address_2": "CHANNING VISION-EYE CARE, INC.",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024083",
            "telephone_number": "301-663-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANNING",
        "first_name": "EUGENE",
        "middle_name": "STEPHAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TAO967",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000256",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP593",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001617",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00280800",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "002831",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECROSS BLUESHIELD",
            "identifier": "545435-01KAN6CH",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUECROSS BLUESHIELD",
            "identifier": "F234-0001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE NORTH",
            "identifier": "52-2219623",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUGENE",
            "last_name": "CHANG",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heidi Maria Chaney, RN
• Kennedy Chaney
• Shawn Lynell Chaney
• Eileen Chang
• Channing Vision Eye Care Inc
• Alycia Gagne Chapman, PSY.D.
• Charitable Guardians, LLC
• Rebecca Carolyn Charnley, PA-C
• Ari Hunter Chaskes, FNP-BC
• Hemant Chatrath, M.D.

• Optometrist in Frederick, MD
• Providers in Frederick, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.