Individual
VIVIAN CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
289 MOODY ST, WALTHAM, MA 02453-5284
(781) 894-2127
(781) 894-1128
Mailing address
289 MOODY ST, WALTHAM, MA 02453-5284
(781) 894-2127
(781) 894-1128
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5328
MA
Other
Enumeration date
12/18/2018
Last updated
09/13/2025
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