NPI 1457344186

Justin Chang, OD

Practitioner Optometrist Norcross, GA

Practice location

Address: 4720 Peachtree Industrial Blvd STE 206, Norcross, GA 30071-5735
Phone: (770) 300-0559
Fax: (770) 300-9176

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 001753 (GA)

Other Optometrist providers in Georgia →

Corneal and Contact Management Optometrist

Eye and Vision Services Providers Taxonomy 152WC0802X Licence 001753 (GA)

Registry record

NPI: 1457344186
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2005
Record last updated: 28 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.