MEDICARE: BRENDA CHEUNG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPT.007373	OH

General Provider Information

NPI Number	:	1730072984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA CHEUNG

Provider Business Mailing Address
First Line	:	6555 LONGSHORE ST UNIT 401
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43017-3078
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1665 W LANE AVE
Second Line	:
City	:	UPPER ARLINGTON
State	:	OH
Zip	:	43221-3339
Country	:	US
Telephone Number	:	380-221-8561
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2025
Last Update Date	:	05/29/2025

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Directions to “ BRENDA CHEUNG ” Practice Location

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