Provider Demographics
NPI:1497586952
Name:CHANG, RACHEL (OD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:CHANG
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 WESTHEIMER RD APT 348
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-1588
Mailing Address - Country:US
Mailing Address - Phone:713-918-9603
Mailing Address - Fax:
Practice Address - Street 1:7710 BEECHNUT ST STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-3106
Practice Address - Country:US
Practice Address - Phone:713-777-7145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-08
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10970152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist