Chun, Stephen Russell
Chun, Stephen Russell is an individual health care provider with primary practice located at 2414 Shattuck Ave , Berkeley CA 94704-2023. He recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Chun, Stephen Russell can be contacted via phone (510) 843-1228.Contact Information
Primary practice address
2414 Shattuck Ave
Berkeley CA 94704-2023
Phone: (510) 843-1228
Fax: (510) 524-1062
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 5835TLG | California |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 5835TLG | California |
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 5835TLG | California |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | 5835TLG | California |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | 5835TLG | California |
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 5835TLG | California |
Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 5835TLG | California |
Profile Details
NPI number | 1942366133 |
---|---|
LBN Legal business name | Chun, Stephen Russell |
Credentials | OD, FAAO |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 29th, 2006 |
Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942366133 | NPPES |
California | MEDICAID | SD005835 |
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