Provider Demographics
NPI:1508856600
Name:CHANG, ROMEO K (MD)
Entity Type:Individual
Prefix:DR
First Name:ROMEO
Middle Name:K
Last Name:CHANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:464 HILLSIDE AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494-1227
Mailing Address - Country:US
Mailing Address - Phone:781-726-7333
Mailing Address - Fax:781-726-7311
Practice Address - Street 1:464 HILLSIDE AVE
Practice Address - Street 2:BOSTON EYE ASSOCIATES PC
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02494
Practice Address - Country:US
Practice Address - Phone:781-726-7333
Practice Address - Fax:781-726-7310
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2011-11-15
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Provider Licenses
StateLicense IDTaxonomies
MA48274207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA042874OtherTUFTS HEALTH PLAN
MAJ03515OtherBCBS MA
MA6178081Medicaid
MAJ03515OtherBCBS MA
MAJ03515Medicare ID - Type Unspecified