Provider Demographics
NPI:1649251232
Name:CHEUNG, ROBERT YIU-TSANG (OD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:YIU-TSANG
Last Name:CHEUNG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3137 OLD TUNNEL RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-4116
Mailing Address - Country:US
Mailing Address - Phone:925-988-0698
Mailing Address - Fax:
Practice Address - Street 1:2801 YGNACIO VALLEY RD
Practice Address - Street 2:SUITE A
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3587
Practice Address - Country:US
Practice Address - Phone:925-933-2600
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5833152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD005833OtherBLUE SHIELD
CA3843OtherMESC
CASD0058330Medicaid
CA3843OtherMESC
CAT10135Medicare UPIN