National Provider Identifier Database

BENLY S CHUNG, OPTICAN – NPI #1346388949
Optician


Contact Information

BENLY S CHUNG, OPTICAN
755 FRANKLIN ST # I-B
OAKLAND, CA94607-3931
Phone: 510-268-1388
Fax: 510-268-0619
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for BENLY S CHUNG

NPI Number 1346388949
Credentials OPTICAN
Entity Individual
Enumeration date 02/03/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: D 006417
  • CA Medicaid: DX0060970
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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