Active NPI
Stephen Russell Chun, OD, FAAO
- Vision Therapy Optometrist
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- 5835TLG
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD005835 | Medicaid | CA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5835TLG | CA | MD | Corneal and Contact Management Optometrist |
| 5835 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California at Berkeley | Optometrist | Current | Accepting new patients |
| Mark a Fujikawa & Stephen R Chun PTR | Optometrist | Current | 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
- 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.
-
dba The Berkeley Optometric Group
- Optometrist
- Berkeley, CA
- NPI 1639394166
-
- Optometrist
- Berkeley, CA
- NPI 1306908058
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.