Healthcare Provider Details

I. General information

NPI: 1548197304
Provider Name (Legal Business Name): SHITAL CHATWANI OPTOMETRY, A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 MOWRY AVE
FREMONT CA
94538-1712
US

IV. Provider business mailing address

1800 MOWRY AVE
FREMONT CA
94538-1712
US

V. Phone/Fax

Practice location:
  • Phone: 510-792-9611
  • Fax: 510-792-9614
Mailing address:
  • Phone: 510-792-9611
  • Fax: 510-792-9614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. SHITAL CHATWANI
Title or Position: OWNER.OPTOMETRIST
Credential: O.D.
Phone: 510-386-0062