Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHANNON W. KAO, O.D.
Active Sole ProprietorOptometrist · BERKELEY, CA
Registration Details
- NPI Number
- 1578623062
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 12, 2006 (19.385303282764 yrs)
- Last Updated
- Feb 11, 2022
- Licenses
-
10272 (CA)3781 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2112 SHATTUCK AVE.BERKELEY, CA, 94704Browse CA providers · Browse ZIP 94704
- Phone
- 5106440909
- Fax
- 5105405542
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in BERKELEY, CA
| Name | Credential | NPI |
|---|---|---|
| DR. NINA TRAN | O.D. | 1629082318 |
| DR. THUY THI TRAN | OD | 1104833821 |
| DR. KERRI YOSHIYAMA | O.D. | 1457466674 |
| DR. KATHY TRAN | O.D. | 1346355401 |
| MICHAEL G KIYOMOTO | OD | 1225119209 |
| DR. NICOLE JAE SIM | O.D. | 1861577744 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.