Individual provider Active NPI

Angela Joy Cheung, O.D.

  • Corneal and Contact Management Optometrist
  • Oakland, CA
National Provider Identifier
1346658184
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
14994 Issued in CA
Practice address
3330 Grand Ave
Oakland, CA 94610-2737
Phone
(510) 832-3162
Fax
(510) 832-3171
NPI assigned
Jul 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT14994TLG CA
Corneal and Contact Management Optometrist 152WC0802X 14994 CA Primary

Addresses

Primary practice location

3330 Grand Ave
Oakland, CA 94610-2737

Mailing address

3330 Grand Ave
Oakland, CA 94610-2737
Phone (510) 604-3462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150116002055 CA Practitioner - Optometry 3779807995 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Angela Cheung OD Optometric CorporationGroup PAC ID 4981089430, 5 clinicians

Practice addresses (Care Compare)

3330 Grand Ave
Oakland, CA 94610-2737
Phone (510) 832-3162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT14994TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nicole Jae Sim Optometric, Inc Optometrist CurrentSince Mar 13, 2017 Accepting new patients
Berkeley California Optometric, Inc Optometrist CurrentSince Oct 21, 2016 Accepting new patients
Angela Cheung OD Optometric Corporation Optometrist CurrentSince Aug 28, 2022 Accepting new patients
East Bay Eye Centers Medical Corporation PastSince Jul 1, 2015 Accepting new patients

Locations

1313 Solano Ave
Albany, CA 94706
Phone (510) 526-0194

2118 Vine St
Ste E
Berkeley, CA 94709
Phone (510) 548-3947

3330 Grand Ave
Oakland, CA 94610
Phone (510) 832-3162

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1346658184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 GRAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102737",
            "telephone_number": "510-604-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 GRAND AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102737",
            "telephone_number": "510-832-3162",
            "fax_number": "510-832-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "ANGELA",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT14994TLG",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "14994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.