Active NPI
Laura Wai Sum Cheung, O.D.
- Optometrist
- Fremont, CA
National Provider Identifier
1730215286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11822T
- Practice address
- 39492 Fremont Blvd
Fremont, CA 94538-2117 - Phone
- (510) 494-8838
- Fax
- (510) 494-9588
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11822T | CA | Primary |
Addresses
Primary practice location
39492 Fremont Blvd
Fremont, CA 94538-2117
Mailing address
2225 Greer CT
Union City, CA 94587-5214
Phone (510) 494-8838
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0118220 | Medicaid | CA | |
| 11822T | Other | CA | CALIFORNIA LICENSE NUMBER |
| SD11822TO | Other | CA | BLUE SHIELD OF CALIFORNIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11822T | CA | MD | Optometrist |
| 11822 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730215286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 GREER CT",
"city": "UNION CITY",
"state": "CA",
"postal_code": "945875214",
"telephone_number": "510-494-8838",
"fax_number": "510-494-9588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39492 FREMONT BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382117",
"telephone_number": "510-494-8838",
"fax_number": "510-494-9588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEUNG",
"first_name": "LAURA",
"middle_name": "WAI SUM",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11822T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0118220",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA LICENSE NUMBER",
"identifier": "11822T",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "SD11822TO",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.