Ann Chang, OD | |
128 W 13th St, New York, NY 10011-7854 | |
(212) 255-2240 | |
Not Available |
Full Name | Ann Chang |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 128 W 13th St, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366579567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 006147 (New York) | Primary |
Provider Name | Clearvue Eye Care |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417533035 PECOS PAC ID: 1052710183 Enrollment ID: O20210524000203 |
Mailing Address | Practice Location Address |
---|---|
Ann Chang, OD 128 W 13th St, New York, NY 10011-7854 Ph: (212) 255-2240 | Ann Chang, OD 128 W 13th St, New York, NY 10011-7854 Ph: (212) 255-2240 |
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