NPI 1174780431 · live from the CMS NPI Registry
Wellington H. Chang, M.D.
Ophthalmology in Fairfax, VA. National Provider Identifier 1174780431, active.
NPI record
| NPI | 1174780431 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 10721 Main St, Ste 3200, Fairfax, VA 22030 |
| Practice phone | 703-951-3930 |
| Enumerated | May 22, 2008 |
| Last updated | September 21, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | MD037620 (DC) |
| Ophthalmology | 207W00000X | D0071577 (MD) |
| Ophthalmology primary | 207W00000X | 0101248654 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.