NICOLE NOELANI CHANG (OD) – Optometrist, NPI 1073976635

NICOLE NOELANI CHANG (OD) is a healthcare provider. based in Waipahu, Hawaii. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 876 (HI). The NPI Number for NICOLE NOELANI CHANG (OD) is 1073976635

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE NOELANI CHANG (OD)
NPI
1073976635
Phone
(808) 677-1544
Address
94-050 FARRINGTON HWY STE B1-1
Enumeration Date
31 March 2016
Last Update Date
24 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8085919911
Graduation Year
2017 (9 years ago)
PAC ID
9537435474
Group Practice PAC ID
4183515265
Professional Enrollment ID
I20191022001289
Address ID
HI968143139HO615XXSTXX308
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

236 OPTOMETRY in HI

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Provider Addresses for NICOLE NOELANI CHANG (OD)

  • Farrington Highway, West Loch, Waipahu, Honolulu County, Hawaii, 96797, United States

    WAIPAHU, HI 96797

    Phone: (808) 677-1544

    Fax: (808) 671-3538

    Type: Location

  • 12324 Hoxie Ave

    Norwalk, CA 90650

    Phone: (562) 929-4499

    Type: Location

  • 2043 College Way

    Forest Grove, OR 971161756

    Phone: (808) 722-1192

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $1,076.

Total Amount is formed as General ($1,076) + Research ($0) + Ownership ($0) = $1,076.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($363).

Total Amount

$1,076

General + Research + Ownership

Payments

46

Total payment records

General Amount

$1,076

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191022001289IOptometryHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
83861Microfluid analysis of tears330104$0
92012Established patient problem focused exam of visual system235149$0
92014Established patient complete exam of visual system146144$0
92250Photography of the retina10299$0
92134Imaging of retina5551$0
View full utilization report →

Insurance plans in this area (ZIP 96797)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183515265View full group profile
NameSpecialtyState
O P H T H A L M O L O G YHI
-HI
O P H T H A L M O L O G YHI
O P H T H A L M O L O G YHI

Reviews

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Frequently asked questions

What number should I use to identify NICOLE NOELANI CHANG (OD) for billing?
Administrative and clinical systems typically use NPI 1073976635 for NICOLE NOELANI CHANG (OD).
Should I treat NICOLE NOELANI CHANG (OD) as an active provider?
Patients and plans typically see NICOLE NOELANI CHANG (OD) as active in the national extract.
What type of care does NICOLE NOELANI CHANG (OD) provide?
NICOLE NOELANI CHANG (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to NICOLE NOELANI CHANG (OD)?
The directory associates NICOLE NOELANI CHANG (OD) with Waipahu, Hawaii. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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