Provider Demographics
NPI:1841503018
Name:KUNG, ELEANOR WINNIE (OD)
Entity type:Individual
Prefix:DR
First Name:ELEANOR
Middle Name:WINNIE
Last Name:KUNG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:291 GEARY ST
Mailing Address - Street 2:STE 700
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-1800
Mailing Address - Country:US
Mailing Address - Phone:415-362-3364
Mailing Address - Fax:415-362-3366
Practice Address - Street 1:291 GEARY ST
Practice Address - Street 2:STE 700
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-1800
Practice Address - Country:US
Practice Address - Phone:415-362-3364
Practice Address - Fax:415-362-3366
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13961152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist