NPI 1003152695

Caleb Ian Chung, OD

Practitioner Optometrist Newark, CA

Practice location

Address: 100 Newpark Mall, Newark, CA 94560-5252
Phone: (510) 745-9030
Mailing address: 1335 Martin Luther King Jr Way, Berkeley, CA 94709-1912

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 14448TLG (CA)

Other Optometrist providers in California →

Registry record

NPI: 1003152695
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Dec 2012
Record last updated: 3 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.