Caleb Ian Chung, OD | |
100 Newpark Mall, Newark, CA 94560-5252 | |
(510) 745-9030 | |
Not Available |
Full Name | Caleb Ian Chung |
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Gender | Male |
Speciality | Optometrist |
Location | 100 Newpark Mall, Newark, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003152695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 14448TLG (California) | Primary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Caleb Ian Chung, OD 1335 Martin Luther King Jr Way, Berkeley, CA 94709-1912 Ph: () - | Caleb Ian Chung, OD 100 Newpark Mall, Newark, CA 94560-5252 Ph: (510) 745-9030 |
Norma E Ramirez, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1115 Newpark Mall, Newark, CA 94560 Phone: 510-792-6775 Fax: 510-792-6779 | |
Sterling Visioncare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1138 Newpark Mall, Newark, CA 94560 Phone: 510-790-1001 | |
Laila Osmani-nejat, Optometrist Medicare: Medicare Enrolled Practice Location: 1057 Newpark Mall, Newark, CA 94560 Phone: 510-299-4446 | |
Linh Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 39718 Cedar Blvd, Newark, CA 94560 Phone: 510-493-2272 Fax: 510-770-0403 | |
Young Professional Optometry Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 39608 Eureka Dr, Newark, CA 94560 Phone: 510-455-8168 | |
Dr. Richard Vu-anh Ly, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 100 Newpark Mall, Newark, CA 94560 Phone: 510-745-9030 |