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Organization
JEWELL R. CHANG OD PA
Active
Organization
JEWELL R. CHANG OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEWELL RENEE CHANG OD (PRESIDENT)
(772) 334-4264
Entity
Organization
Contact information
Practice address
3201 NE SKYLINE DR, SUITE D, JENSEN BEACH, FL 34957-3912
(772) 334-4264
(772) 334-4265
Mailing address
3201 NE SKYLINE DR, SUITE D, JENSEN BEACH, FL 34957-3912
(772) 334-4264
(772) 334-4265
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2950
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20621
BLUE CROSS BLUE SHIELD
—
01
—
5624127
AETNA
—
Enumeration date
03/16/2007
Last updated
12/04/2008
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