Jessica Chang in Pasadena - Optometrist

Jessica Chang - NPI 1063524304

Jessica Chang is a Optometrist in Pasadena, California. Jessica Chang practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jessica Chang is 1063524304. The last update date is 2015-07-30.

Jessica Chang's current location address is 477 E Colorado Blvd, Pasadena, California. You can contact this provider via phone number 6267961191 and fax number 6267960189. The mailing address for Jessica Chang is 477 E Colorado Blvd, Pasadena, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jessica Chang
Address 477 E Colorado Blvd, Pasadena, California
Phone Number 6267961191
Fax Number 6267960189
Sole Proprietor N
Credentials OD

NPI Number Detail

NPI Number 1063524304
Provider Enumeration Date 2006-08-31
Last Updated Date 2015-07-30

Provider Mailing Address Detail

Address 477 E Colorado Blvd
City Pasadena
State California (CA)
Post Code 911012024
Phone Number 6267961191
Fax Number 6267960189

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 10578T
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
SD0105780 CA --

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FAQs about Jessica Chang

What is the unique 10-digit identifier code issued to Jessica Chang by the Centers for Medicare & Medicaid Services?

The Jessica Chang has been assigned the NPI (National Provider Identifier) 1063524304 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Jessica Chang is located?

The Jessica Chang is situated at the following address: 477 E Colorado Blvd, Pasadena, CA, 911012024.

What is Jessica Chang's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jessica Chang is Optometrist, and the taxonomy classification code that categorizes this area of expertise is 152W00000X.

On what date did the Jessica Chang receive the assignment of its 1063524304 from the Centers for Medicare & Medicaid Services?

The Jessica Chang was issued its 1063524304 by the Centers for Medicare & Medicaid Services on 2006-08-31.

As of what date were the Jessica Chang's details last updated?

The information pertaining to the Jessica Chang, including its address, specialty, and other details, was most recently updated on 2015-07-30.

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