Provider Demographics
NPI:1477832574
Name:CHIU, VICTORIA EUGENIA (OD)
Entity Type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:EUGENIA
Last Name:CHIU
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 1:542 24TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-2915
Mailing Address - Country:US
Mailing Address - Phone:415-297-6038
Mailing Address - Fax:
Practice Address - Street 1:175 MARKET PL
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-4741
Practice Address - Country:US
Practice Address - Phone:510-275-0202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14261 TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist