Mark a Fujikawa & Stephen R Chun PTR

Primary specialty

OptometristTaxonomy code 152W00000X

License

FNP 393 Issued in CA

Legal business name

MARK A FUJIKAWA & STEPHEN R CHUN PTR

Practice address

2414 Shattuck Ave
Berkeley, CA 94704-2023

Phone

(510) 843-1228

Fax

(510) 843-2080

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Fujikawa, O.D.NPI 1366507352

Title

Partner

Phone

(510) 843-1228

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Berkeley Optometric Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Alan Fujikawa, O.D.

  • Optometrist
  • Berkeley, CA
  • NPI 1366507352
  Medicare reassignment Care Compare group NPD Authorized official
• Stephen Russell Chun, OD, FAAO

  • Vision Therapy Optometrist
  • Berkeley, CA
  • NPI 1942366133
  Medicare reassignment Care Compare group NPD
• Rose Kim Hoang, OD

  • Optometrist
  • Berkeley, CA
  • NPI 1588285811
  Medicare reassignment Care Compare group NPD
• Annie Tsuen Chin, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1124191556
  NPD (past)
• Allison Elizabeth Cho, OD

  • Optometrist
  • Oakland, CA
  • NPI 1821231341
  NPD (past)
• Ryan Howard Nicholas, M.D.

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1881731610
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1639394166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 SHATTUCK AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042023",
            "telephone_number": "510-843-1228",
            "fax_number": "510-843-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 SHATTUCK AVE",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947042023",
            "telephone_number": "510-843-1228",
            "fax_number": "510-843-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A FUJIKAWA & STEPHEN R CHUN PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "FUJIKAWA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "510-843-1228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "FNP 393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD000060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Berkeley Optometric Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Ann Oqueriza Mariano
• Julia Marino, MD
• Ewa Maris
• Thira Maris, PHARMD
• Marjan Rusta DDS Inc
• Mark and Barbara Sullivan Psychotherapy Inc
• Melissa A. Mark, CRNP
• Jennine Marie Markiewicz, LMFT
• Henry Markman, M.D.
• Jess Maron

• Optometrist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.