Individual provider Active NPI

Stephen Russell Chun, OD, FAAO

  • Vision Therapy Optometrist
  • Berkeley, CA
National Provider Identifier
1942366133
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
5835TLG Issued in CA
Practice address
2414 Shattuck Ave
Berkeley, CA 94704-2023
Phone
(510) 843-1228
Fax
(510) 524-1062
NPI assigned
Dec 29, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5835TLG CA
Corneal and Contact Management Optometrist 152WC0802X 5835TLG CA
Low Vision Rehabilitation Optometrist 152WL0500X 5835TLG CA
Pediatric Optometrist 152WP0200X 5835TLG CA
Sports Vision Optometrist 152WS0006X 5835TLG CA
Vision Therapy Optometrist 152WV0400X 5835TLG CA Primary
Occupational Vision Optometrist 152WX0102X 5835TLG CA

Addresses

Primary practice location

2414 Shattuck Ave
Berkeley, CA 94704-2023

Mailing address

2414 Shattuck Ave
Berkeley, CA 94704-2023
Phone (510) 843-1228

Other identifiers 1

IdentifierTypeStateIssuer
SD005835MedicaidCA

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
I20090706000683 CA Practitioner - Optometry 5890846760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Berkeley Northeastern State University - College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of California at BerkeleyGroup PAC ID 8628083110, 57 clinicians
Mark a Fujikawa and Stephen R Chun PTRGroup PAC ID 8921035122, 3 clinicians

Practice addresses (Care Compare)

200 Minor Hall
Suite 384a
Berkeley, CA 94720-2020
Phone (510) 642-2020

2414 Shattuck Ave
Berkeley, CA 94704-2023
Phone (510) 843-1228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5835TLGCAMDCorneal and Contact Management Optometrist
5835CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California at Berkeley Optometrist CurrentSince Aug 5, 2024 Accepting new patients
Mark a Fujikawa & Stephen R Chun PTR Optometrist CurrentSince Mar 14, 1986 Accepting new patients

Locations

200 Minor Hall
Berkeley, CA 94720
Phone (510) 642-0945

200 Minor Hall
Ste 384A
Berkeley, CA 94720
Phone (510) 642-7844

230 Minor Hall
Berkeley, CA 94720
Phone (510) 642-0609

2414 Shattuck Ave
Berkeley, CA 94704
Phone (510) 843-1228

Interoperability endpoints

  • Direct secure messaging: schun349735@direct-ucsfmedicalcenter.org

Organizations & group practices 2

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1942366133",
    "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": "510-524-1062"
        },
        {
            "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": "510-524-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "STEPHEN",
        "middle_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "OD, FAAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5835TLG",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "5835TLG",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "5835TLG",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "5835TLG",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "CA",
            "license": "5835TLG",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "5835TLG",
            "primary": true
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "CA",
            "license": "5835TLG",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD005835",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.