Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Channon W. Kao, OD

Individual provider Optometrist · NPI 1578623062

Dr. Channon W. Kao, OD is an Optometrist in Berkeley, California. Practices as a sole proprietor. Licensed in California and Massachusetts.

Licensed in
CA, MA
In the registry since
2006
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2112 Shattuck Ave
Berkeley, CA 94704
Phone: (510) 644-0909
Fax: (510) 540-5542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 10272 (CA)
Optometrist Taxonomy 152W00000X · Licence 3781 (MA)

Record details

NPI number1578623062
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedDecember 12, 2006
Last updated in NPPESFebruary 11, 2022

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