DR. STEFANIE MICHELLE CHAN (NPI# 1689055923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689055923 |
| Entity Type | Individual |
| Full Name | DR. STEFANIE MICHELLE CHAN |
| Credential | O.D. |
| Practice Address |
230 Minor Hl Berkeley CA 94720-0001 |
| Practice Telephone | 5106422020 |
| Mailing Telephone | 5106422020 |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
15237 | CA | Eye and Vision Services Providers |
| Street Address |
230 MINOR HL |
| City | BERKELEY |
| State | CA |
| Zip Code | 94720-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659786507 | Jasmine Junge | Optometrist | 230 Minor Hl, Berkeley, CA 94720-0001 | 2014-06-29 |
| 1770006751 | Karen Eula Molina | Optometrist | 230 Minor Hl, Berkeley, CA 94720-0001 | 2017-07-20 |
| 1720509219 | Emily Gorski | Optometrist | 230 Minor Hl, Berkeley, CA 94720-0001 | 2017-07-05 |
| 1487175584 | Meng-hua Wu | Optometrist | 230 Minor Hl, Berkeley, CA 94720-0001 | 2017-06-29 |
| 1447791918 | Tiffany Loa-shin Khoo | Optometrist | 230 Minor Hl, Berkeley, CA 94720-2020 | 2017-03-16 |
| 1891147161 | Angela Shahbazian | Optometrist | 230 Minor Hl, Berkeley, CA 94720-2020 | 2016-07-11 |
| 1215312111 | Ashley Mari Katsikos | Optometrist | 230 Minor Hl, Berkeley, CA 94720-2020 | 2015-07-21 |
| 1790190585 | Sarah Kochik | Optometrist | 230 Minor Hl, Berkeley, CA 94720-0001 | 2014-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609352798 | Richard Phan | Optometrist | 200 Minor Ln, Berkeley, CA 94720 | 2018-07-12 |
| 1184082067 | Carmen Lee | Registered Nurse | 2222 Bancroft Way, Mc4300, Berkeley, CA 94720 | 2016-02-05 |
| 1922355148 | Cynthia Medina | Counselor | 2222 Bancroft Way #4300, Berkeley, CA 94720 | 2012-08-07 |
| 1811199615 | Ellen De Neef | Physical Therapist | 2222 Bancroft, Berkeley, CA 94720 | 2007-06-04 |
| 1427185529 | Margaret Anne Fisher | Nurse Practitioner | 2222 Bancroft Ave, Berkeley, CA 94720 | 2007-02-27 |
| 1619049285 | Vikki V. Yu | Optometrist | 230 Minor Hall, Uc Berkeley School of Optometry, Berkeley, CA 94720 | 2006-11-15 |
| 1801992755 | Robert K Osborne Dds & Assoc Inc | Dentist | 1177 South Main St, North Canton, OH 94720 | 2006-09-16 |
| 1154949899 | Thuy-trang Nguyen | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2020-07-09 |
| 1619498656 | Celia R Gong | Optometrist | 230 Minor Hall, Berkeley, CA 94720 | 2017-06-29 |
| 1790234680 | Kelsey Lindquist | Specialist/Technologist | 185 Haas Pavilion, Berkeley, CA 94720 | 2016-10-03 |
| Find all providers in zip 94720 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023156965 | John Corzine | Optometrist | 200 Minor Hall, University of California, Berkeley, CA 94720-2020 | 2007-02-02 |
| 1023662269 | Ghazal Naseri | Optometrist | 230 Minor Hall, Berkeley, CA 94720-0001 | 2019-07-25 |
| 1801229083 | Vivien Tse | Optometrist | 200 Minor Hl, Berkeley, CA 94720-0001 | 2013-08-12 |
| 1407993017 | Charles Howard Bailey | Optometrist | 360 Minor Hall, Berkeley, CA 94720-2020 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741299 | Eye Connection Optometry, Inc | Optometrist | 9516 Miramar Road, San Diego, CA 92126 | 2019-07-05 |
| 1053880468 | Elements Optometry P.C. | Optometrist | 703 Pier Ave Ste C, Hermosa Beach, CA 90254-3958 | 2018-11-14 |
| 1184108797 | Patrick W Utnehmer A Proffesional Corporation | Optometrist | 41493 Margarita Rd Ste G109, Temecula, CA 92591-5570 | 2018-09-19 |
| 1629586409 | Excel Family Eye Care Inc | Optometrist | 15855 Soquel Canyon Pkwy Ste 120, Chino Hills, CA 91709-7866 | 2018-01-16 |
| 1548634504 | Jessica Duong,o.d.inc. | Optometrist | 4294 Riverwalk Pkwy Ste 204, Riverside, CA 92505-3378 | 2015-11-13 |
| 1649694571 | Visual Eyes Optometry Inc | Optometrist | 4555 Hopyard Rd Ste C-19, Pleasanton, CA 94588-2771 | 2014-02-12 |
| 1649602939 | Kambiz Silani | Optometrist | 212 S Robertson Blvd, Beverly Hills, CA 90211-2811 | 2013-08-08 |
| 1740621937 | Old Town Optometry Inc | Optometrist | 78015 Main St Ste 107, La Quinta, CA 92253-3420 | 2013-07-16 |
| 1891033825 | Roushanak Fadavi | Optometrist | 4 Arcata, Mission Viejo, CA 92692-5138 | 2013-01-25 |
| 1659629384 | Yen's Optometry Inc. | Optometrist | 1335 Lincoln Ave, San Jose, CA 95125-3022 | 2012-08-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.