Chang, Eunice
Chang, Eunice is an individual health care provider with primary practice located at 6000 Earle Brown Dr , Brooklyn Center MN 55430-2506. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Chang, Eunice can be contacted via phone (952) 993-4900.Contact Information
Primary practice address
6000 Earle Brown Dr
Brooklyn Center MN 55430-2506
Phone: (952) 993-4900
Fax: (952) 993-4827
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2804 | Minnesota |
Profile Details
| NPI number | 1407882327 |
|---|---|
| LBN Legal business name | Chang, Eunice |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Aug 12th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407882327 | NPPES |
| Minnesota | Other | 22-03203 | MEDICA |
| Minnesota | Other | HP59874 | MEDICA |
| Minnesota | Other | 1032781 | MEDICA |
| Minnesota | Other | 2422247 | MEDICA |
| Minnesota | MEDICAID | 38628700 | MEDICA |
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