Jewell R. Chang Od Pa

LBN: Jewell R. Chang Od Pa
Jewell R. Chang Od Pa is an health care organization with primary practice located at 3201 Ne Skyline Dr Suite D, Jensen Beach FL 34957-3912. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Jewell R. Chang Od Pa can be contacted via phone (772) 334-4264, or through Chang, Jewell Renee via phone (772) 334-4264.

Contact Information

Primary practice address
3201 Ne Skyline Dr Suite D Jensen Beach FL 34957-3912
Phone: (772) 334-4264
Fax: (772) 334-4265
Website:
Map and Directions
Authorized official contact:
Name: Chang, Jewell Renee Doctor of Optometry (OD)
Phone: (772) 334-4264

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2950 Florida

Profile Details

NPI number 1841314945
LBN Legal business name Jewell R. Chang Od Pa
DBA Doing business as
Authorized official Chang, Jewell Renee Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2007
Last updated Dec 4th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841314945 NPPES
Other 20621 BLUE CROSS BLUE SHIELD
Other 5624127 BLUE CROSS BLUE SHIELD

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