Provider Demographics
NPI:1346658184
Name:CHEUNG, ANGELA JOY (OD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:JOY
Last Name:CHEUNG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3330 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-2737
Mailing Address - Country:US
Mailing Address - Phone:510-604-3462
Mailing Address - Fax:
Practice Address - Street 1:3330 GRAND AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-2737
Practice Address - Country:US
Practice Address - Phone:510-832-3162
Practice Address - Fax:510-832-3171
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-24
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT14994TLG152W00000X
CA14994152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152W00000XEye and Vision Services ProvidersOptometrist