Kao, Channon W.

Kao, Channon W. is an sole proprietor health care provider with primary practice located at 2112 Shattuck Ave. , Berkeley CA 94704. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kao, Channon W. can be contacted via phone (510) 644-0909.

Contact Information

Primary practice address
2112 Shattuck Ave. Berkeley CA 94704
Phone: (510) 644-0909
Fax: (510) 540-5542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10272 California
Eye and Vision Services Providers / Optometrist 152W00000X 3781 Massachusetts

Profile Details

NPI number 1578623062
LBN Legal business name Kao, Channon W.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Feb 11th, 2022 - about 2 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.

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