EUNICE CHANG (O.D.) – Optometrist, NPI 1407882327

EUNICE CHANG (O.D.) is a healthcare provider. based in Plymouth, Minnesota. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2804 (MN). The NPI Number for EUNICE CHANG (O.D.) is 1407882327

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
EUNICE CHANG (O.D.)
NPI
1407882327
Phone
(763) 577-4179
Address
3410 Rosewood Ln N
Enumeration Date
23 June 2006
Last Update Date
12 August 2021

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
9529933123
Graduation Year
2001 (25 years ago)
PAC ID
9830105691
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20060302000535
Address ID
MN554162527ST3850XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

Provider Addresses for EUNICE CHANG (O.D.)

  • 3410 Rosewood Ln N

    Plymouth, MN 554412202

    Phone: (763) 577-4179

    Type: Location

  • 3410, Rosewood Lane North, Plymouth, Hennepin County, Minnesota, 55441, United States

    PLYMOUTH, MN 554412202

    Phone: (763) 577-4179

    Type: Mailing

  • 6000 EARLE BROWN DR

    BROOKLYN CENTER, MN 554302506

    Phone: (952) 993-4900

    Fax: (952) 993-4827

    Type: Location

  • 8170 33RD AVE S # MS 21110Q

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-03-02

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
I20060302000535IOptometryMNTBD

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
92014Established patient complete exam of visual system5757$0
92004New patient complete exam of visual system3535$0
View full utilization report →

Insurance plans in this area (ZIP 55441)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for EUNICE CHANG (O.D.)?
EUNICE CHANG (O.D.) — NPI 1407882327 — is the standard way to identify this listing.
Is EUNICE CHANG (O.D.) listed as active for patients and plans?
The listing shows EUNICE CHANG (O.D.) as active in the NPI system.
What taxonomy line describes EUNICE CHANG (O.D.)?
For research purposes, treat EUNICE CHANG (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is EUNICE CHANG (O.D.) based?
EUNICE CHANG (O.D.) is tied to Plymouth, Minnesota in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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