Individual
JASON CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1414 E MAIN ST, SANTA MARIA, CA 93454-4806
(805) 925-2637
(805) 347-0033
Mailing address
1245 BROAD ST, SAN LUIS OBISPO, CA 93401-3907
(805) 542-0700
(805) 784-9309
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13148T
CA
Other
Enumeration date
02/05/2007
Last updated
11/12/2015
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