DR. KHANH CHANG (OD) – Optometrist, NPI 1245401108

DR. KHANH CHANG (OD) is a healthcare provider. based in Leesburg, Virginia. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. TA 1768 (MD). The NPI Number for DR. KHANH CHANG (OD) is 1245401108

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. KHANH CHANG (OD)
NPI
1245401108
Phone
(703) 669-4646
Address
607 POTOMAC STATION DR NE STE A
Enumeration Date
19 March 2008
Last Update Date
16 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5713854600
Graduation Year
2001 (25 years ago)
PAC ID
7416910765
Group Practice PAC ID
0143448456
Professional Enrollment ID
I20041108000506
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

Provider Addresses for DR. KHANH CHANG (OD)

  • 607 POTOMAC STATION DR NE STE A

    LEESBURG, VA 201761817

    Phone: (703) 669-4646

    Type: Mailing

  • 617 POTOMAC STATION DR NE STE A

    LEESBURG, VA 201761817

    Phone: (703) 669-4646

    Fax: (703) 669-9322

    Type: Location

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: 2013-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20041108000506IOptometryVATBD
I20130221000120IOptometryDCTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 20176)

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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: 0143448456View full group profile

Reviews

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Frequently asked questions

Where can patients find DR. KHANH CHANG (OD)'s NPI?
You can confirm DR. KHANH CHANG (OD) with NPI 1245401108; it appears in the national provider directory.
Is DR. KHANH CHANG (OD)'s NPI currently valid?
The extract we use shows DR. KHANH CHANG (OD) as active.
Does DR. KHANH CHANG (OD) list a primary specialty?
If you are matching referrals, note Optometrist for DR. KHANH CHANG (OD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KHANH CHANG (OD)?
The page summarizes Leesburg, Virginia for DR. KHANH CHANG (OD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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