Provider Demographics
NPI:1356419006
Name:CHUN, JUDY YUK YIU (OD)
Entity type:Individual
Prefix:DR
First Name:JUDY
Middle Name:YUK YIU
Last Name:CHUN
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 1:781 VALLEJO ST
Mailing Address - Street 2:SUITE 700
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-3834
Mailing Address - Country:US
Mailing Address - Phone:415-677-9930
Mailing Address - Fax:415-677-9930
Practice Address - Street 1:12681 DORSETT RD
Practice Address - Street 2:
Practice Address - City:MARYLAND HEIGHTS
Practice Address - State:MO
Practice Address - Zip Code:63043-2100
Practice Address - Country:US
Practice Address - Phone:314-786-3800
Practice Address - Fax:314-786-3801
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9635T152W00000X
MO2018016539152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA9635TOtherSTATE LICENSE
CA9635TOtherSTATE LICENSE