Individual
DR. STEPHEN RUSSELL CHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD, FAAO
Contact information
Practice address
2414 SHATTUCK AVE, BERKELEY, CA 94704-2023
(510) 843-1228
(510) 524-1062
Mailing address
2414 SHATTUCK AVE, BERKELEY, CA 94704-2023
(510) 843-1228
(510) 524-1062
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
5835TLG
CA
152WC0802X
Corneal and Contact Management Optometrist
5835TLG
CA
152WL0500X
Low Vision Rehabilitation Optometrist
5835TLG
CA
152WP0200X
Pediatric Optometrist
5835TLG
CA
152WS0006X
Sports Vision Optometrist
5835TLG
CA
152WV0400X
Vision Therapy Optometrist
Primary
5835TLG
CA
152WX0102X
Occupational Vision Optometrist
5835TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD005835
—
CA
Enumeration date
12/29/2006
Last updated
09/11/2025
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