MEDICARE: DR. ANDREW DAVID HSIA MD

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	207W00000X	Ophthalmology Physician	ME 115584	FL
2	207W00000X	Ophthalmology Physician	068033	GA
3	207W00000X	Ophthalmology Physician	MD30073	AL
4	207WX0107X	Retina Specialist (Ophthalmology) Physician	30073	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316034259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW DAVID HSIA MD

Provider Business Mailing Address
First Line	:	242 WINTON BLOUNT LOOP
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-3501
Country	:	US
Telephone Number	:	334-384-1141
Fax Number	:	334-472-8065

Provider Business Practice Location Address
First Line	:	242 WINTON BLOUNT LOOP
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-3501
Country	:	US
Telephone Number	:	334-384-1141
Fax Number	:	334-472-8065

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

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	06/07/2020

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