Individual
DR. CHANNON W. KAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2112 SHATTUCK AVE., BERKELEY, CA 94704
(510) 644-0909
(510) 540-5542
Mailing address
2112 SHATTUCK AVE., BERKELEY, CA 94704
(510) 644-0909
(510) 540-5542
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10272
CA
152W00000X
Optometrist
3781
MA
Other
Enumeration date
12/12/2006
Last updated
02/11/2022
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