Provider Demographics
NPI:1124223771
Name:CHANG, ESTHER I-PING (MD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:I-PING
Last Name:CHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:241 CORPORATE BLVD
Mailing Address - Street 2:STE 210
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23502-4965
Mailing Address - Country:US
Mailing Address - Phone:757-622-2200
Mailing Address - Fax:757-622-4866
Practice Address - Street 1:241 CORPORATE BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-4975
Practice Address - Country:US
Practice Address - Phone:757-622-2200
Practice Address - Fax:757-965-9493
Is Sole Proprietor?:No
Enumeration Date:2007-06-15
Last Update Date:2016-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101250445207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA3965950OtherCIGNA
VA454612OtherANTHEM BCBS
VA1124223771OtherVIRGINIA PREMIER
VA1124223771OtherTRICARE/TRICARE FOR LIFE
VA10085628OtherOPTIMA
VA1124223771Medicaid
VAP01039509OtherRR MEDICARE
VA454612OtherANTHEM BCBS